91-421 Tr,
t
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December i8 y 1911
This is to certify that work requested to be done as shown by Permit No. 91-421
has been completed.
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This structure may be occupied as a Family Room (At. t g )
Location David A. Judkins
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
0
TOWN OF QUEENSBURY X
No. 91-421
WARREN COUNTY, NEW YORK
CD
PERMISSION is hereby granted to David A. Judkins
OWNER of property located at 7 Cottage Hill Rd Street, Road or Ave. at
in the Town of Queensbury,To Construct or place a Alteration to Garage
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
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2. CONTRACTOR or BUILDER'S Name
Same0
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) c+
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(X)Wood Frame ( ) Masonry ( )Steel ( ) a
7. PLANS and Specifications
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No. 250 sq ft Alteration to Garage as per plot plan specifications
and application
8. Proposed Use
Family room
$ 12.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 18, 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 t 8 ,Da "of June 19 91
SIGNED BY k for the Town of Queensbury
Building and . 4'ng Inspector
TOWN OF QUEENSBURY
REVIEWED BY: "%' 102-''
AIL
FEE PAID: 1
Viilltii / ' JUN 1 7 1991
PERMIT NO. : 61 i 4Lf
%Da & CODE UEPT.
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: a i) ) /,/� �, /W,44- j
P.O. Address: _ ?- (gig 'C /4e1/7 te, PHONE 2'. 2 1-,S
Property Location: N / L AY /, 7VJ Tax Map No. // / ( / 6
Has there been anysplit of this property since October 1, 1988? Yes No
P P
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:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ 5n7de,
Addition to building *
`y Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size. / ` , t
* ft. x ft j ' '
* Proposed buildin ist' �'e !from
GROSS AREA OF PROPOS O STRUCTURE: * property line: ;(Q,
* .��,
1st Floor CrOXV, '' rC Sq. Ft. * Front Y ‘,1" ft. Rear yard ft.
* Si de& ft. and ft.
2nd Floor ' 5P Sq. Ft. * If on orner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* >0 One Family Dwelling
Size of New Structure: /' ft. x ft. * Two Family Dwelling
Foundation: / ° * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) 2 * Other
Height (grade to ridge) evfa * e ft. *
If residential , no. of families: / * If addition, what will use be?
No. of rooms (excluding baths) : 3 * , ,,;t, ., f:,C'b. °
No. of bedrooms: /f;? *
No. of bathrooms: / * Accessory Building:
Primary heating sys em: e, A4 e A * Detached Garage - One/Two Car
Type of fuel : _ * Attached Garage - One/Two Car
No. of fireplaces to be installed: /lf r ® * Private Storage Building
Will a woodstove be installed?: ) * �p Other
Central Air Conditioning: Yes u -,.--No= -*
(OVER) �/
F
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BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? P c-9
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) : AP °
Will there be a cellar? 44 Heated or Unheated? 6 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: Slope , Flat/Shed/Other Material of Roof .` 9
Size, wood studs ,2 " x " ; spacing /le, " o.c. ; length g ' ft.
Joists (floor beams) : 1st Floor x' a�''� spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor _ " x /6 "; spacing " o.c. ; span ,4. ft.
Overlays (ceiling beams) : " x "; spacing " o.c. ; span IR ft.
Roof rafters: " x h " ; spacing /6 o.c. ; span , ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: �s� , ' of what material ?
Interior Wall Finish: ¢ s/
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
4/0
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? 44 Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth:
Water supply- Mu icipa- , or private well :
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: c $,<T' ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
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 he owner.
Signature c-T)
Owner, owne agent, architect
contracto
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
UO -hrLI:/A->c
TOYlN OF QUEENSBURY ') fill/
531 BAY ROAD
1dix.rm QUEENSBURY, NEW YORK 12804
172 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED L 2i ,' CI 1
NAME 0C1\(d k
LOCATION 9 C_01Jt,C• - \ L 1
DATE / 1 ( /61, PERMIT# Ct I -/-i(;/.
TYPE OF STRUCTURE , "1 -- - 4r) C .
RECHECK `,�;tY,e304„ 9sa A
tart S ' S
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_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCT E)
FOOTING FOUNDAT ON BACKFILL X( FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION _WOODST�OVE/FIREPLACE
REMARKS
\\ / APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION`;,
B VENT/LOCATION r
PLUMBING VENT
ROOFING f
SIDING
DECK/PORCH/STEPS/RAILI GS
RELIEF VALVES ,,,////
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK /
INTERIOR TRIM/PR,IVACY DOORS ✓
FINISH FLOORS: i
BATH/KITCHEN WATERTIGHT �,
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS t, 3
BATHROOM FANS/WHU6EHOUSE FANS /
ALL PLUMBING FIXTURES OPERATING f
GARAGE FIRE PROOFING f
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS f
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS ✓ ,z ",--
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE //
DEPART A:a ,' ,
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ELECTRICAL INSPECTIONS
�DUPLICATE MUNICIPAL RECORD
Permit No. �/`4,2/
Owner P' ,J-- 1 j(d
Occupant
Location .7 & f-ni L (67-ez,e...,
--c+eN e cc 7L�•'`7 PL-'y3 Street
Town or City � State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
Ira o
Date a"-" 47/ /,.. 4 t (.5\11
- a 'fAla ec,G.ot
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM No.18 EL. 1337 West Chester Pike,West Chester,PA 19380
LK) ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
1 `� , •___&_-_ ftCk.,f` � 71— WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
I T: FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC.H.P.VENT FANS
fie '
['TORS H.P. 1/20 1/12 I/10 % '/6 '/ '/a '/2 '% 1 11/4 2 3 5 71/2 10 15 20 25 30 40 50 75 1(
ARK NUMBER
'EACH SIZE
PPARATUS
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TOWN OF QUEENSBURY
% iii 531 BAY ROAD
t-' QUEENSBURY, NEW YORK 12804
► ,. TELEPHONE (518) 745-4447
":` BUILDING INSPECTOR'S REPORT
FINAL INSPECTON j
REQUEST FOR INSPECTION RECEIVED I\ \(.P
1 LI I
NAME '\LAC) \(i 31 , r►6
11 ,
LOCATION 7 }-C�c i"1! /l _
DATE ;\ (ervi PERMITI --41 gl
R GeN.Y-0,-ogt-
RECHECKTYPE OF STRUCTU E �- I -�
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
i
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
F N4' YES NO
CHIMNEY HEIGHT/LOCATION 1 //
B VENT/LOCATION �/
�! PLUMBING VENT
, ROOFING
11 SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES /
FURNACE/HOT WATER OPERATING; / V
BASEMENT INSULATION/DUCTWO$Kr ✓
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS SWEEPABL V OTHER FLOORS CARPETED ✓ /
STAIR CLEARANCE/RAILINGS V
HANDICAPPED ACCESS
SMOKE DETECTORS
i BATHROOM FANS/WHOLEHOUSE FANS ,✓
ALL PLUMBING FIXTURES OPERATING ^�
GARAGE FIRE PROOFING
DOOR CLOSERS f
E OTHER FIRE SEPARATION J
FIRE/DEMISE WALLS/
k DUMPSTER /
ii SITE PLAN/VARIANCE REQUIREMENTS ✓
�. FINAL ELECTRICAL ,P/V 4- (' ) 1-
OK TO ISSUE C/O OR C/C
4- COMMENTS:
: l' t/(hiSk -M^A,V3Ogk
a. - 1;�5 s y ' I.`64-s 1111
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ARRIVEIII
DEPART
NSP T
_
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD N�
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OUEEN38URY, NEW YORK 12804
TELEPHONE 518\ 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
WE
LOCATION wl�
DATE IC9 PERMIT
� TYPE OF 5TNVC|uw
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
� THE CONTRACTORFOR I0ING PROTECTION
FREEZING FOR 48 HOURS FOLLOWING
THE PKACE14EKT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE /
FOUNDATI0N/DAMPROOFlNG �
` BACKFlLL APPROVAL
' ROUGH PLUMBING /^
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB �
� FRAMING: / !
` JACK STUDS/HEADERS,
DRACING/DRIDGlN
JOIST HANGERS
JACK POSTS BEAM
.FIRE5TDPPING
WALLS
CEILING
?P'trFIxEn*LLS _
' H N
` INSULATION:
` FOUNDATION WALLS INTERIOR R- .
F0UNDATlON WALLS EXTERIOR R-R '
FLOORS - ,
WALL3 n_R-
,
`
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
'
/
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ARRIVE
DEPART
- INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT° c
REQUEST FOR INSPECTION RECEIVED
NAMErk- e •fin
LOCATION CO o �% c
DATE 9 } 1 1 PERMIT # I
TYPE OF STRUCTURE \._ U -yr...
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 I
BRACING/BRIDGING
IF
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
k WALLS /�
"' CEILING
FIREWALLS
HEATING ROUGH-IN /
-AINSULATION: f
FOUNDATION WALLS INTERIOR R-
FOUNDATION WW tRIOR R-
FLOORS R-
WALLS J R- ' '
CEILING R"
DUCT WORK OR PIPI G IN UNHEATED
SPACES
REMARKS:
( ,
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ARRIVE 1 ,-) i
iefrIJ
DEPART !�� fl
INSPECTOR 1
~� TOWN OF EENSBURY �
BUILDING AND CODES DEPARTMENT
531 BAY ROAD `
OUEENSDURY, NEW YORK 12804
TELEPHONE (518) 792 5832 �
BUILDING INSPECTOR'S REPORT <X
REQUEST FOR INSPECTION RECEIVED \
_°�� . �±^�� r
�&�� _�.�)C� Y�� f�` ��
�
LOCATION
- /-� � 'l |
DATE PERMIT f `^Y \ ^- ��
/ )«�- (
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TYPE OF STRUC/UR[ �ll -�~ ~�r-, ��o«
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS.
MONOLITHIC POUR FORM
. REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
' FOR PROVIDING PROTECTION FRO14
. FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR ,
REINFORCEMENT IN PLACE ,
F0UNDATIUN/DAMPRUOFING
8ACKFILL APPROVAL
z*U0UGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
' JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIREST0PPING
WALLS
CEILING
FIR[WALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
F0UNDATlUN WALLS EXTERIOR R-
FL0ORS R-
WALLS '' i R-
CElLING K-
DUCT WORK OR PIPING IN UNHEATED
' �
SPACES
'
REMARKS: .` �
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ARRIVE
s.V.kt c! Ti
TOW OF QUEENSBURY �
BUILDING AND CODES DEPARTMENT f
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION COk-
DATEI I (D(q I PERMIT
TYPE OF STRUCTURE 4:)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM M
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- W�
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: 3-61,
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ARRIVE / :
DEPART D,S" I P CTOR
TOWN OF QUE _°SBURr (�
BUILDING AND CODES DEPARTMENT -�
531 BAY ROAD ��
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR`S REPORT
REQUEST FOR INSPECTIiF RECEIVE®
NAME /> `Ci'� S9
LOCATION 7 Co' ® `2/1
DATE 7 3 PERMIT • I- yo2/
TYPE OF STRUCTURE
RECHECK_____________________ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM 111111
REINFORCEMENT IN PLACE ,MI
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 INN
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: rowl _/
ARRIVE
DEPART
INSPEC OR
i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7
531 BAY ROAD Z ,-4 .
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,,ae,ei-K.41rC,///x4
LOCATION 7 49 T-
, DATE 4,-f/. / PERMIT # '/ /
TYPE OF STRUCTURE,Z,/ r1 1.P
RECHECK APPROVED
N/A YES NO eh
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 41,
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS i
JACK POSTS/MAIN BEAM h
FIRESTOPPING it
WALLS
CEILING / i,
FIREWALLS
HEATING ROUGH-IN /
INSULATION: ,
FOUNDATION WALLS I,>NTERIOR R-
FOUNDATION WALLS EXTERIOR RI-
FLOORS R`
WALLS R;
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
SPECTOR