90-202 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 27, 19 91
This is to certify that work requested to be done as shown by Permit No. 92-202
has been completed.
This structure may be occupied as a Alteration to building
1 nation RR#1 Bx 1587 (LG) Bay Road
Owner Joan Stephenson
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
'� - BUILDING PERMIT 1-3
TOWN OF QUEENSBURY No. 90-202 ro
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to JOAN STEPHENSON
ND
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OWNER of property located at Bay Road (RR1 Box 1587 u-Licutfload or Ave.
in the Town of Queensbury,To Construct or place a Alteration to building
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
same
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2. CONTRACTOR or BUILDER'S Name
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Brian Washburn
3. CONTRACTOR or BUILDER'S Address
78 Feeder Dam Road
S. Glens Falls NY 12803
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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) OD
( tWood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications O
No. 348 sq. ft alteration to building as per application and plans submitted.
8. Proposed Use
Alteration to building
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$ 12.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 25 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the E.
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 25th Day of April 19 g(1
SIGNED BY 1XY for the Town of Queensbury
Buildi and Zoning Inspector
TOWN OF QUEENSBURY,
REVIEWED BY
..' 111111ft FEE PAID $ / , OWN OF QUEENSBUR\
w4 PERMIT NO. 9 - 202. RECEWWEf
BUILDING PERMIT APPLICATION APR 2 4 1990
BLDG. & 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.
• • a • a * • a • a * a a * * * a * * * a * * a a a * * * * * • * * * * * * * a a
The owner of this property is: G
P.O. Address ay / 5 F 2 0 -a „c.-ems j / Tel. � 7 Z- d 3 7.5-
Property Location ,-ESL r 111 A I /2 /S—e7 Tax Map No. 44j/_L/
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
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
Construction of a new building * CONSTRUCTION: $ II DO()
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
/V-- Alteration to a building a Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) a Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor 34( sq. ft. , ; '
J • OCCUPANCY INFORMATION
2nd Floor sq. ft. • - Primary Building -
One Family Dwelling
Other Floors sq. ft. a �C
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA 3q% sq. ft. • Multiple Dwelling/Number of units
Size of new structureft •x ft. • Business
Foundation-pier/slab/crawl/partial/full * Industrial
(circle one) • Other
•
No. of stories (habitable space)__ •
Height (grade to ridge) ft. • If addition, what will use be?
If residential, no. of families •
No. of rooms(excluding baths) *
Accessory Building
No. of bedrooms ' __Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system • __Attached Garage ONE/TWO Car
Type of fuel • __Private storage building
No. of fireplaces to be installed '
• Other
Will a wood stove be installed
•
Central Air conditioning
OV• ER
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction ood fra , fire safe, etc. GA.-14 >
Will any second-hand or upgraded lumber be used? If so, for what? A ,,X, 'ae c s
740/tRAA 022,6, ___Jd.P,.. 0.-Z. L/1",...e
Foundation wall material a 7Q Thickness . X -
Depth of foundation below grade (to bottom of footing) ��i ��_
Will there be a cellar? Heated or unheated? _ee Floor sq. footage ; ,7 sq ., .
Will there be a basement? �j`,1 Will any portion be used as living space? ,V,, Ai _ ! "-'`e/z.0
Ty(If so, what portion? sq ft pe of use?
Type of roof - opep/flat/ �e /other Material of roof ,Q 4, ,�,e4.0
Few" orck T
Size, wood studs "x 6 " spacing " o.c. length 7Wit. ,e pa -c
Joists (floor beamsT 1st floor "x i " spacing "o.c. span / ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) A "x , " spacing ,10 " o.c. span 9 ft.
Roof rafters „ "x 6 " spacing Av o.c. span /j/ ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish 71d Gva Ce.- b0 ,r4 of what material? .,y/s, t. 1
Interior wall finish t5 4 1- f r)c
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 flr-,'cv" L ciS(,-0,LAmADDRESS ': 'j=.e.,cl€;,. j�;,,..ecITEL. NO. ,'3-S� 72
S G;F
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ,,,d f'la9es ADDRESS 3; ewe /Y/` TEL. NO.
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 the owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY
a' rN\i-air mf Deco '- 1j' 1U
T�53O1 QUEENSBURYD
iimw ir4 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
1Q BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME`j nc..(r SA P.V k eA>S cv
LOCATION 1527 C-\)DATE 3_ )-)-9 1 C) PERMITS (O-" (_ (9—
TYPE OF STRUCTURE C (4 VI
lc)0A
RECHECK
_FIRE MARSHAL APPROVAL OMMERCIAL STRUCTURE)
FOOTING FOU 'AT IN : BACKFILL FRAMING
_ROUGH PLUMBING ' FIN', ELECTRICAL SEPTIC
INSULATION W►11ST0E/FIREPLACE
SITE PLAN/VARIANCE RE' IREMENTS YES NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/Li' ATIO`
B VENT/LOCATION /
PLUMBING VENT /
ROOFING /
SIDING
DECK/PORCH/ST•,'S/RAILINGS
RELIEF VALVES ?
FURNACE/HOT 'TER OPERATING
BASEMENT INS LATION/DUCTWOR'•,
INTERIOR TR /PRIVACY DOORS .J
FINISH FLO' S:
BATH/KIT'' EN WATERTIGHT
OTHER F 70RS SWEEPABLE
OTHER F,''ORS CARPETED
STAIR CL •RANCE/RAILINGS
HANDICAP D ACCESS — t
SMOKE D ECTORS •
BATHROO FANS/WHOLEHOUSE FANS
ALL PLU BING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
/
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C t/
COMMENTS:
ARRIVE 72
DEPART 1/
1,
INSPECTOR
TOWN OF QUEENSBURY 1°sAVI
BUILDING AND CODES DEPARTMENT per.`
BAY & HAVILAND ROADS V( r i
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES' SR SPE ION RE IVED
NAME I LI I - • t _
LOCATION 1 r { $ 0
DATE 4. 25 PERMIT f* 2OZ
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR F' S
FOUNDATION/DAMP-PR'.FING
BACKFILL APPROVAL
ROUGH PLUMBING
<'FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS /l/9
WALLS `l , �� C-/q
CEILING /�/ k'ig
FINAL INSPECTION: Ii
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EP
STAIRS-CLEARANCE : RAI S
PLUMBING FIXTURES RELI VALVE
INTERIOR TRIM/PRI ACY D RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION 1,
FINAL APPROVAL O: CONSTRUCTIQN
OK TO ISSUE C/O •RC/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM HE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! I
REMARKS: 4
AS
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y� r{
/et)
ARRIVE /0: ate'
DEPART /0 :34)
INSPECTOR
"'J�Vt.110 UJ 1t1, UJ Uav tll c_110 ).; Ut.A.0 UJ J44` ..7 A J •
( MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
1337 West Chester Pike,West Chester,PA 19380
( -)
C --2--A,-1 Date July 12, 1990
C
C rrr, tertlf ley that the electrical equipment listed has been examined and is approved as being in accord
( with the National Electrical Code, applicable governmental, utility and Agency rules. C
Joan Stevenson Dwelling
C Owner: Occupancy. C
Occupant: Same
Bay Road, Queensbury (Warren Co) NY This certificate covers the electrical equipment and installation inspected
C
Location: Pe
this date. If additional equipment should be introduced or alterations made
Equipment: 14 Outlets; 10 Receptacles; 2 Fixture So existing system this certificate shall be null and void,and application for
inspection should be submitted promptly to MDIA, Inc. C
Holder of this certificate should present same to his property insurance
carrier (agent or company) as evidence of certification of electrical
equipment approval.
Applicant: E JDan Stevenson
Box 1587, Bay Road No.
L Queensbury, NY 12804 J 16-036689 C`
-7n,-, El , on ��/ �/c...-nr ��J
OWN OF QUEENSBUR\
RE:DEIN/En
VI Sc - , APR 2 4 1990
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Owno tceenm tr BUILDING & CODES DEPT,
THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.
WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR-
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT /
/
Co.'-' E or ement 0 icer
April 25, 1990
Date
90-202
Building Permit #
COMMENTS: