88-600 CERTIFICATE OF 'OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 27 19 89
This is to certify that work requested to be done as shown by Permit No. 88-600
has been completed.
This structure may be occupied as a m,_ One Family Dwelling - Addition
Upper Ridge &tad
Location
Janice Potter
Owner s ,
By Order Town Board
TOWN OF QUEENSBURY
(---_ �)
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Building & Zoning Inspector
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 88-600 b
WARREN COUNTY, NEW YORK ,o
PERMISSION is hereby granted to Janice Potter rs.)
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OWNER of property located at Upper Ridge Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition n>
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
Star Route — Box 109
Glens Falls, N.Y. 12801 N•
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2. CONTRACTOR or BUILDER'S Name T�
Bill LaPlanche r°r
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3. CONTRACTOR or BUILDER'S Address
Box 1595 — RD1 — South Bay
Fort Ann, N.Y. 12827
4. ARCHITECT'S Name m
7d
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ao
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
No. 8' X 12' as per plot palan, drawings and application
(no septic, no power)
8. Proposed Use
addition of shed to dwelling
5.00 C/O
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89
(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 nd Day of August 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspect r
TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
BUILDING AND CODE ENFORCEMENT
DATE :3 -/S -19
BUILDING PERMIT # EXPIRATION DATE 3'-/-
p9
PERMIT ISSUED TO: /` `z;
LOCATION: 2Q 7J ''
The records of the Building Department show that your Building Permit has not
had all of the required inspections. Our inspections are done only when requested by the
Permit holder. Following is a list of required inspections and indication as to those that
have been done. We require that you contact this office and make necessary arrangements
to finalize this permit.
REQUIRED INSPECTIONS: DATE OF INSPECTION
1. Foundation footings before pouring concrete
2. Foundation inspection before backfill -ref
3. Rough plumbing
Framing
Insulation before any closing in of the frame work
4. Final Electrical Inspection required by approved agency
5. Septic system, before covering
6. Final Inspection before Certificate of
Occupancy/Compliance is issued
NO OCCUPANCY OF BUILDING WITHOUT APPROVAL OF THE BUILDING
DEPARTMENT.
THE BUILDING DEPARTMENT SHALL ASSUME NO RESPONSIBILITY FOR ANY PORTION
OF CONSTRUCTION THAT HAS NOT BEEN INSPECTED.
REMARKS:
Gn F4idaq, Novembez 4, /988, MR. Jac
4.i frnvree came and .invpec ed my completed
tvooated addi i.on. I W -��unde�.tvvd .ct
the PricdinApectivn. David Hatin, Director
zt,c\ Bldg. & Code Enforcement
CP 110
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763
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TO BE COMPLETED BY BLDG. DEPT.
fi n' ti ;
awn
No. L=; v --
_town of Queeniur, Permit Issued 19 V
BUILDING and ZONING DEPARTMENT Permit Expires 19 r AUG 151988
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. BUILDING & CODE DEPT.
Site Plan Review N . /`f d0
I Approved b r ii�
APPLICATION FOR - Gy G� J�' ,4)
BUILDING AND ZONING PERMIT Ale,/�
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: Z—a n it de g-4>‘,e-e
P.O. Address six , *v /01 Tel.79,2-- I 0 P3
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Property Location: /� {- a }G f ' T x; ap No. �/ / `�Z
Street numkfb or buildingalot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
A7( 2 4 f/f k ele AA- /SIP fif 1 .roKk Ay i t 14,A, 09
Name / P.O. Address /2- 927 Tel. No.
Name of builder/l/ 14 f 41 Address is ►" 7( /4 r, . Tel. ()9` r r-fre
Name of plumber f' Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
4/Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
* street andr or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * —:-------
of septic disposal area.
* _______
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /39, T ft X�27�6L ft.
* Existing building(s) Size e// ft X ft.
*
PROPOSED BUILDING AND USE:
Existing building(s) Use -,-�
Size of new structure i' ft X /2ft *
undation-pi slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *• Front yard 0e, / ft Rear yard / /2 ft
No, of stories (habitable space) * Side yards ft and /3f` ft
Height (grade to ridge)/4-/2- ft. * If on corner, se ack from side street ft
If residential, no. of families
No. of rooms(excluding bath * OCCUPANCY INFORMATION
No. of bedrooms jam' *
�
* PRINeY BUILDING -
No. of bathrooms 'Primary heating system * /One family dwelling
Type of fuel _� * Two family dwelling
No. of fireplaces to be installed ./ * Multiple dwelling / Number of units
Will a wood stove be installed? / * Permanent occupancy
* Transient occupancy
Central Air conditioning? /
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other 7
Raised ranch Mansion Duplex * If addition, what will use be.
Split level Old style Bun alow *
Cape Cod Cottage Other" * ACCESSORY BUILDING-
Colonial Row own House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * *,/'Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ iUo �P *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE OMPLETED!
Form BPA 4/86 and-vl cr 0G�' ,J� ,,W(I i
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. da' 1r
Will any second-hand or ungraded lumber be used? If so, f r what? V-e S .
Foundation wall materialfA0s�`+?►3' 4'/6 4-/d ' W i -Thigkn ss -e r a s 1 -
Depth of foundation below grade (to bottom of footing) 7
Will there be a cellar?./AY Heated or unheated? N,i Floor sq. footage '7‘ sq ft
Will there be a basement?,,e-Y Will any portion be used as living space?
(If so, what portion? sq.ft. - Type of use?
Type of roof - sloped/flat/shed/other s Material of roof w•'-F-A 4rs4' sX.
Size, wood studs 52- "X spacing /6 "o.c. length ft.
Joists(floor beams) 1st. floor "X /o " spacing It "o.c. span $' ft.
Joi "X " spacing "o.c. span ft.
Overlays(ce... rry Ue�ms) I- "X / " spacing i2- "o.c. span 8 ft.
Roof rafters ,2_ "X 4 " spacing / L o.c. span Q,s ft.
Roof trusses(pre-engineered) spac ng "o.c. span ft.
Exterior wall finish Prop a. �, , Of what material? Oro V 1
Interior wall finish v,/,-0 n
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, and 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)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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.
SWORN TO BEFORE ME THIS Signature 1 � }
Owner, owne s agent,archirect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i--
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST INSPECTION RECEIVED
NAME
LA
LOCATION e FG o
DATE 3 I PERMIT # as- / 'L'
�[ APPROVED
E �1 YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
/FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING j�
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 1_/
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
aab
INSPECTOR
j -4 �']
.awn of Queenituri
BUILDING and ZONING DEPARTMENT
j Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
UILDING INSPECTO' S REPORT
NAME _
LOCAT ONE � < yrZ �
Date Permit No. ,'�'��
L' J
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES ,/ NO
Footing/Pi=r Forms
undation
Waterproof in
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floor'.
Interior Trim
Stairs & Rail ngs
Cellar Drain ile
Concrete Flo.-rs
Plbg. Fixtur-s
Gar. Firepr•ofing
Door Closer_
Smoke Dete•tors
Chimney
INSULATIO1,:
Foundati.
Floors
Walls
Ceiling
FINAL :LECTRICAL INSPECTION
DRIVEWY APPROVAL
Final :uilding Survey
Nex scheduled inspection (call when ready)
Re arks-
Build ng Inspe tor
6/86 and-vl
' _Down of Queen3bur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 1(1' fi/'( i (gfert_
LOCATION ' .
7
Date- ( / Permit No. 1 � G`-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
,Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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