1991-774 CERTIFICATE OF COMPLIANCE-
TOWN 'OF QUEENSBURY
QUEENSBURY
WARREN COUNTY, NEW YORK
Date - January 7, 1992
This is to certify that work requested to be done as shown by Permit No. 91-774•
has been completed.
This structure may be occupied as a 3 Car Garage
Location 220 nest Mountain Road
Owner Bill Lansing
By Order Town Board
TOWN OF QUEENSBURY
(\--D4ff
•y
_./7 Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 91-774
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Bill Lansing
OWNER of property located at 220 West Mountain Road Street, Road or Ave. e~i
Rn
in the Town of Queensbury,To Construct or place a 3- Car Garage
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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.
to
1. OWNER'S Address is
Same
YT
2. CONTRACTOR or BUILDER'S Name —'
Joe Belski
14 Goodwen Avenue ru
3. CONTRACTOR or BUILDER'S Address t`p
r'F
—'a
4. ARCHITECT'S Name
5. ARCHITECT'S Address
f')
6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. 864 sq ft 3-Car Garage as per plot plan specifications and
application
8. Proposed Use
3 - Car Garage
$ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 6, 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 6 ., f November 19 91
SIGNED BY C= r-"� for the Town of Queensbury
Building and Zoning Inspector
TOWN OP QUEENSBURY
4111116
REVIEWED BY: A'L"
5�%� FEE PAID:, _ i TOW
N OF QUEENSBUk
PERMIT NO. :
C/ L c7d7 ( RECEIVED
NOV 11991
•
BUILDING PERMIT APPLICATION Etta, ix 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.
* * * * *- * * * * * * * * * * * * 1, * * * * *,* * * * * * * * * * * * * * * * * * * *' *
Owner of Property: /'/`' / S/mac -
c
P.O. Address: c? ) t/-C 9--- /21 P,,A 770-/i.J A AA PHONE /9'3 "5-0g3
Property Location: �t1•z .{ /3.P�1 "-A--- Tax Map No. �/ / ///v/' '
Has there been any split of this
property since Octobe 1, 1988? Yes No ,,4,1b
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVI ION OF WORK AS REGARDS TO BUILDING CODES IS:
--—10 r: R-e,/sr c i '5
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ ,t-7
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: - 76 ft. x /J 7 ft.
Other work (describe) * Existing Building Size:
* -?...ft. x t..
* Proposed buildi g - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
. 1st Floor Y Sq. Ft. * Front Yard / ('ft. Rear yard '1 ft.
* Side Yards / O ft. and 32 ft.
`'nd Floor Sq. Ft. *. If on corner, setback from side street-
* ft.
Dther Floors Sq. Ft. *
I(not cellar or basement) * OCCUPANCY INFORMATION:
I
'TOTAL FLOOR AREA: k-- Sq. Ft. * Primary Building -
�,^ *. One Family Dwelling
,Size of New Structure: 14 ft. x �c/ft. * Two Family Dwelling
Found * Multiple Dwelling/No. of Units _
Pie ab�,rawl/Partial/Full (Circle One) * Business
l * Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
If residential , no. of families: * If add t'on hat will use be?
No. of rooms (excluding baths): * ;,
No. of bedrooms: - * —— • —
No. of bathrooms: * Access r •
Primary heating system: * rDetac ed Garage - One/Two Car ` �
Type of fuel: * AttachedGarage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other '
Central Air Conditioning: Yes No *
(OVER) Wo 6lez..,
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. (A) 0 - . lN�C.�
Will any second-hand or ungraded lumber be used? If so, for what? .1 ,"
Foundation Wall Material : 1-ty/( EL-eic,_Thickness:
Depth of Foundation below grade (to bottom of footing) : j171/
Will there be a cellar? Heated or Unheated? ,�44 Floor Sq. Footage:
Will there be a basement? ,
c, Will any portion be used as living space? _///4')
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other f2L-0012 Material of Roof /cf,e2/7229/517-17-Af--/t-
Size, wood studs " • J
2 x spacing / � " o.c. ; length y� ,fi ft.
Joists (floor beams) : 1st Floor " x spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x " ; spacing " o.c. ; span . ft.
Overlays (ceiling beams) : " x "; spacing " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing �,/'" o.c. ; span ,�27 ft. ,- --
Exterior Wall Finish: / of what material ? /1/0-C_-' ./9)' ,
Interior Wall Finish: /1. 1 ,
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 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 & ADDRESS: 'r ✓�.z>jf ' / A,y___.-4 PHONE �11.7 y C --
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 wor is authorized by the owner.
Signature
wner, ne r gent, architect
contra t•r
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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
4
NAME L A A)5)i Li C/1 'J f L L, )
LOCATION 7 2r) LL ; 1'ti= Qa ,
DATE 64)PERMIT # 9\1— v7 `7 `�-
TYPE OF S UCTURE S C z ;4. (or'—
RECHECK APPROVED
/ N/A YES NO
FOOTINGS/PIERS , /4 /////`9J g ,
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 PURPdSEt ON SITE
FOUNDATION/WALL POUR A
REINFORCEMENT IN PLACp" 1
FOUNDATION/DAMPROOFIG
BACKFILL APPROVAL /
ROUGH PLUMBING I,
PLUMBING VENT/VENTS IN PLC CE
PLUMBING UNDER SLAB
FRAMING: ,/`7
JACK STUD/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-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,eyllet0 flA 64114
,t&tc 72/ v e
ARRIVE
3 �°
DEPART
011//t/
PECTOR
V /
TOWN OF QUEENSBURY �sYY / 77j
BUILDING AND CODES DEPARTMENT
531 BAY ROAD /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
REQUEST FORLDING INSPECTIONCTOR RECEIVEDPORT 1 ( 9 /
f � pp t/ 61
!G
NAME d Ct R$r 1 G. �i 1
LOCATION C} L ( %,cfi ! J 7L1U
DATE /�1 7 q 1 PERMIT # I l � r)1 '‘K
TYPE OF STRUCTURE � �r.Y (j(l1<l.y
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
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: ,=g + ��� !'• t3t�+� R `! r
/G1 s a.udg ,zed
ARRIVE
DEPART
IN PEC " R
TOWN OF QUEENSBURY
*a 531 BAY ROAD
,tM ,, QUEENSBURY, NEW YORK 12804
.. ws, .0;_ 1 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
. FINAL INSPECTION .
REQUEST FOR INSPECTION RECEIVED 1/ (.p 1 Cf 1
NitliE ` j CID-W� l
LOCATION J-3-0 ( ) - 1►ti\PIe‘.i n F)
DATE N PERIITf 91 _ 74/
TYPE OF S UCTURE V. G
RECHECK ,' o`��' 0 em s .
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 i/
DECK/PORCH/STEPS/RAI " GS
�R,ELIEF VALVES
FURNACE/HOT WATER •ERATING
BASEMENLNSULAT N/DUCTWOR.
INTERIOR TRIM/P VACY DOORS'
FINISH FLOORS-
BATH/KITCHEN WATERTIGHT
OTHER FORS SWEEPABLE
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/VARIANCE RE UIREMENTS
FINAL ELECTRICAL Ilk. E%ecf,C,fc, /
OK TO ISSUE C/O OR C/C r/
COMMENTS:
ARRIVE /
��
DEPART - ha-7
INSP TOR
Code review: Vic Lefebvre 11/1/91
x
' Residential garage-- 3 car•
.
sheathing between trusses
ROOF--Use niES g2piy g
,
I . Install wind-bracing on trusses before sheathing.
Call for inspections as described oBnascPloenret::tat :ard. tomosi
TOWN • OF QUEENSBURY
hef X 3 a/..)n A7 E
BULFING R• CO06, bEPT TOWN OF QUEENSBURY MIN DEMOS
i OWN OF QUEENSB Lir, A., ..M.Ir 0 compliance with our carnmeals slid
RECEIVED REVIEWED BY not be construed as indicating the
DATE if i -da I
plans and specifications are fri Itifi NOV. COIDE19D9E1PT compliance with the code.
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INE5T HOUNTA IN FZ OAL�
TOM r.JL QUEErp,]8 1,,ce,,iv
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.� '�t C `� - TOWN OF QUEENSBUI-, . Map of a Survey of a Parcel of Land to
J } E^EiVED be Conveyed from
1 ���r��� °����� ' `"' John Lester to Malcolm Lester
ii
' I NOV 1 1991 Town of. Queensbury Warren CountY, N. Y ,
,l -"J > BLDG. & CODE DEPT. Scale: 1."=50' December 19, 1966 .
dC4° / /7�/a' John B. Van Dusen
Licensed Land Surveyor
N. Y., S :;.:: Lic.# 24045 . I.P,=Iron Ploe