1993-154 ' '• •
4 '1-7,- •__
CERTIFICATE OF_ ClIMPLIANC
TOVVN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date 1-7h4A rf.
This is to certify that work requested to be done as shown by Permit No. 13-/54
has been completed.
This structure may be used as a roof over- /r74ite
Location . )44.2/19ev
Owner of ree.,9 1.01-) ./ A, g/ / /774kwo.1- ,/,z9,-/-42//ze Airize_v• :
/2/—6 —50 By Order of Town Board .
TOWN OF QUEENSBURY
Director of Building A Code Enforcement
•
BUILDING PERMIT `p y
TOWN OF QUEENSBURY /3
No. 7,3- 54
/
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ,(.,D,Q/z/}/,j/ f/%C/�?€,P CCILv 4racf" Q/�/1e/')
OWNER of property located at
p p y i/14 .C/�i1/E Street, Road or Ave.
in the Town of Queensbury,To Construct or place a /foot ie(/- /2 /L.f:
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
f30X 2. 2 k/i4P.iE/v Z/ A/E 1J
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name G '
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. /11;')(/4/ WovF vve€r rnoio; borne as /ot 7)7ar,
app/rc c<-60)-D (Jr?Ld.5 e - ccth ergs.
8. Proposed Use
—R(90/ 0Ver- ,moL//e ID on-74E_
$ 39, 0d PERMIT FEE PAID —THIS PERMIT EXPIRES APRIL 3o 19 94
(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 30//i Day of /oR//-- 19 93
SIGNED BY for the Town of Queensbury
Building and Zo Inspector
1141
k
TOWN OF QUEENSBURYj010k REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT IAAj FEE PAID: � ra
531 BAY ROAD yJ r��j7
QUEENSBURY, NEW YORK 12804 PERMIT NO. J
(518) 745-4447
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 application form.
OWNER OF PROPERTY: Loa Cte?VC- Per Al'lei- (WC) L Mailing Address : ;Rox.,q c'ata : p.:
Telephone Number(s) : Work Home 9c?3 y 9,S",,3 Other
PROPERTY LOCATION:
Tax Map Number: Section Block Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ / 9 0 C3, o p
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
tl QTHE ,WORK (DESCRIBE BELOW) Mercantile
Ado Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR P (/ 'SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
AR FEET X / V FEET Other
Foundation Type: ,c L ftd Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: (E1_ectric Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
'PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: i1, /4,1 i l j!99.*-'14 d}'°`, e- a A o
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE:
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of p oject on premises .
Signature C1,444 .%`',
(Owner, owner s agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME �-�!I ./� i A7 p/v1.--AA
LOCATION 2:3 L L(A-6.Z.6.,0 --
DATE Of PERMIT# 4)3
TYPE OF STRUCTURE 'err (')I I rz ,A4 /4
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING-1/9-
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING,.
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY 'DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT'.
OTHER FLOORS 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 REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C,
COMMENTS:
c m Z-- 6 L
e os vr L
ARRIVE
•
DEPART "e2Ns Z.L
' I N V E
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 7 RECEIVED
NAME R(.-__)LA .
LOCATIOtd �3-�- fit//c-t� LL—
DATE Sk2/23 PERMIT 0 7 5--/ L�
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDIN3G 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 1 _
V FRAMING: 1 0_4;'riZ 14 -t-vo t-
JACK STUDS/HEADERS 1 /
BRACING/BRIDGING_ 1
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS OTERIt1R R-
FOUNDATION WALLS/EXTERIOR R-
FLOORS '� R-
WALLS ,/ \R-
CEILING 'R-
DUCT WORK OR/PIPING IN UNHEATED
SPACES
REMARKS: `.
0 A) e'er
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ARRIVE /i1 ______
DEPART f( L /t,C
IN 'PEC OR •
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APR 0 1993
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I1 \ _. 7S6i4(44441*
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A ministrata
TOWN OF QUEENSBU
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