1991-781 •Pi.
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 23, 19 92
This is to certify that work requested to be done as shown by Permit No. 91-781 -�
has been completed. _.
Wi
This structure may be occupied as a Changing EOdoWS
Location
RBO4 Corinth Road
Owner Eric O. t Trodi E. Egan
Go -'' By Order Town Board i 3
f C.1 rC
TOWN OF QUEENSBURY
( s/a/A'44e''
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-781
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Eric O. & Trudi E. Egan -
OWNER of property located at Corinth Rd Street, Road or Ave. I,
in the Town of Queensbury,To Construct or place a Alteration 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.
1. OWNER'S Address is m
cc
RD#4 Corinth Road
Queensbury, NY 12804
2. CONTRACTOR or BUILDER'S Name
Same Qa
3. CONTRACTOR or BUILDER'S Address �.
Same
4. ARCHITECT'S Name
O
'S
r+
5. ARCHITECT'S Address
a
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications d
e+
No. Alteration to Dwelling as per plot plan specifications and r+
application c
8. Proposed Use
Changing WINDOWS
v,
$ 10.00 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 r„.„..--6t Day of• November 19 91
9
SIGNED BY / )U^�� for the Town of Queensbury
Building and Zoning Inspector
•
TOWN OP:QUEENSBURY
0 ..,—..
REVIEWED BY: 1...lialliiFDS t
,- ,,/. .: ,3 ig l';
� "Z,3 aC.,,V -�``'1hj
FEE PAID: D r V
s
PERMIT NO. : 91 -7 eI -
BUILDING PERMIT APPLICATION tUaDUNICA & CXYDE 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.
* * * * * * * * * * * * *. * * * * * * * * * * *.* * * * * *. * * * * * * * * * * * * * *
Owner of Propert : TL/ , . T tO 6 CI 44401
P.O. Address: .. DO q Coa.41.1711. 2i I' eZ4.45E,4,!5&mL.
1AL4. PHONE 751- 6 (
Property. Location: eip .roe of e'LcxtThy 4 keg-A.. 7i- . Tax Map No.j9�p/ / / 3
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: //4 Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: '
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building . * CONSTRUCTION: $ S Z .ao
Addition to building *
Alteration to. building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ' ft. x ft.
Other work (describe) * Existing Building Size:
e.4b°<14 4,- ' ki I ICE,D ass. ' * . f t. x f t.
* Proposed building - distance fromGROSS AREA OF PROPOSED STRUCTURE: . * property line:
*
1st Floor Sq. Ft. * Front Yard ft. Rear yard 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 bas=ment * OCCUPANCY INFORMATION:
*
TOTAL FLOIR A' . Sq. Ft. * Primary Building
* One Family Dwelling
Size of - Str ct re: ft. x ft. * Two Family Dwelling
Foundation * Multiple Dwelling/No: of Units
Pier/Slag/'raw1 P. rtia (Circle One) * Business
* Industrial
No. of s 'ori = ..('H•bit. le sace) * ' Other
Height ( !rade to idg-J ft.
If resid'ntial , n.. of families: * If ddition, what rill use be?
No. of rooms (excl udi g baths): * C m w Sl?A-NA.rUleY-o
No. of bedrooms:
No. of bathrooms: * Accessory Building:
Primary heating s Ltem: * 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 SPECIFICATIONS:
Type of construction: wood frame,. fire safe, etc. et)e)o F-1 m `'"4-
Will any second-hand or ungraded lumber be used? If so, for what? 4-1. ()
Foundation Wall Material : lt_b .. K Thickness: .
Depth of Foundation below grade (to bottom of footing) : ` i
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof
Size, wood studs " x " ; spacing " o.c. ; length 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 ft.
Exterior Wall Finish: of what material ?
Interior Wall Finish:
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: P=h,( 04-1 mlno ' ( a. .is J (.iLL , �/ PHONE.ti Y iS) 777- ,£/5
NAME OF PLUMBER & ADDRESS: `� P 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 auth rized by the owner.
P
Signature ..
Owner, owner's agent f) architect
contractor
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
NAME t i I C_ !'0
LOCATION(r A,1 i 14 ' �'�`11� 1 I f
DATE 6,2_ PERMIT 9 CO — 7
TYPE OF STRUCTURE
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE .
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDINGcPROTECTIONIFROM
FREEZING FOR 480OURS FOLLOWING
THE PLACEMENT OF;, THE CONCRETE.
MATERIALS FOR THIAS PURPOSEON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN OpCE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING ` 1'
PLUMBING VENT/VENT.-SIN PLACE
PLUMBING UNDER SLArB
FRAMING: rl/ f i i / JIi�
JACK STUDS/HEADERS %
BRACING/BRIDGING_
JOIST HANGERS
JACK POSTS/MAIN BEAM,
. HEATING ROUGHL IN
INSULATION: I `i ' •
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS 1 R— .
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: j JJJ. /
•
17
1
ARRIVE
DEPART t ,
i INSPECTOR
TOWN OF QUEENSBURY C" \V-4-eAf0
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT / 01
REQUEST FOR INSPECTION RECEIVED // (Q / r
NAME L 2 O -' C , �,.
r Aw.
LOCATION C-rN (\ \~U c n C
DATE I (I7 9 PERMIT # I
TYPE OF STRUCTURE CZ }1 ) ' COS
RECHECK APPROV
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 I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE ,/
PLUMBING UNDER SLAB
(FRAMING: WAD:0ev +
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM /
FIRESTOPPING i
WALLS /
CEILING /
FIREWALLS /
HEATING ROUGH-IN t/
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR;R
FLOORS R
WALLS R-
CEILING R- ".
DUCT WORK OR PIPING IN UNHEATED
. SPACES
REMARKS:
ARRIVE
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DEPART
INSP CTO
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TOWN OF QUEENSBURY BB TOWN OF C.;L,F,E.E U RY
7.c--:- ?(-iota C. 1.0 IN D005 ased on eurimitedoem.s... aviwiee
compliance with eir -----v B IPA ID H'.,'„CI ,S7 -CL1Yi. po,rico
not be construed a.c2.01.063kail - ., _
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Pians sad spettp_u_Indieltilthie WWI EV/ED BY 1,...1
'bums rein Ail
compliance with the a*-
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PATE ____111 .-----,---
if Cop ip lit t n I 14 e 0 P if
. TOWN OF QUEENSBUff NAM DEPARIMUff
Based cm oar lofted esarsiediew, )
t-- 12./ c c::) ..... c>- 1; ikl
&Opp compliance with ors cammands shall /
not be construed as Indicating the
plans and specifications are in fuN Rolf- 4 .-.42../ R.7-7-/ )20A
compliance with the code.
ar_L,) Y- S TS?..)1a-L( / t1
eczlita1/41tal it oF CCAftliker ti "4::: /t--t.E.—g-te_