89-868 r
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ) )`, } 191
U
This is to certify that work requested to be done as shown by Permit No. 89-868
has been completed.
This structure may be occupied as a detached two car garage
I.nration Birdsal Road - Glen Lake
Owner Kevin Dineen
By Order Town Board
TOWN OF QUEENSBURY
it tJG L 1, i
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 89-868
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to KEVIN DINFEN
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OWNER of property located at Bi rdsal Road - Glen Lake Street, Road or Ave.
in the Town of Queensbury,To Construct or place a detached two car 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.
1. OWNER'S Address is
SAME
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2. CONTRACTOR or BUILDER'S Name
Dan Barber
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
tzs
5. ARCHITECT'S Address tr)
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6. TYPE of Construction—(Please indicate by X)
Kx Wood Frame ( ) Masonry ( I Steel ( )
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7. PLANS and Specifications
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No. 816 sq. ft. two car detached garage as per plot plan, application
and specifications.
8. Proposed Use
Detached two car garage.
$ 35.00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 90
(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 November 19 89
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
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.v..I. av r wed cz . IJ l%L 1
/� REVIEWED BY �,,___ •
JAB FEE PAID $ H TOw
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Fikrittill
PERMIT NO. �9- tt pFltsk.../.
BUILDING PERMIT APPLICATION *0k Fp e'�iil'
Slot, 1989 -
on_
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS 4.At
!ILL 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.
• • • • • • • • • • • • • • • • • ♦ • • • • • • • • • • • • • • • • • • • • • • •
the owner of this property is: KR ) :� 0 ; it F cu
?.O. Address Tel. ,D. 4')s. c'7 e
'roperty Location -6,,.rd 5A'�C L G L CiAlE' Tx--Map No. c !2; 3/
ias there been any split of this property since October 1, 1988? /
f yes Planning Board Review is necessary. yes no
UBDIVISION NAME, IF APPLICABLE t'U,•,Jr _ LOT NO.
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
,, i - t
•
'A URE OF PROPOSED WORK: • ES MATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: SS ,��<'
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 3 )' - ft x ft.
Alteration to a building , •
(no change to exterior dimensions) Existing Buildings(3) Size LI ft. x Z.`A ft.
• Proposed building - distance from property line:
Other work (Describe) • Front yard ILO ft. Rear yard KO ft.
• Side yards ('..) ft. and 5 U ft.
•
ROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from_3tde street- , ft.
1st Floor t Co - sq. ft. •
OCCUPANCY INFORMATION•
2nd Floor / sq. ft. • Primary Building -
Other Floors `�� sq. ft. • ',One Fa lily Dwelling
(not cellar or basement) . Two F Ily Dwelling
OTAL FLOOR AREA s¢ ft • Mint a DardB /NumtNr units
Ise of new __ft s= • —B
usiss
•o ndotion pierl oW l/paetyliftd1 ' Other�\
O. of stories(bitable • _
Sight to Mee) ft. • If addition, what will use be!
'residential,' t of families, ` •
'a of rooms(excd _l� be `V) • Ace , Nimbi
to of bedrooms \ • 1/Detached Garage O O
to. of bathroom •'
't'iMry heating , - -__�!��
• Attached Garage OK=/'TMO Cu ;
'ypS of fuel �` '� • ____Private storage building
of ilrepiac to be installed •
till a wood ove be installed • __Other
:antral Afr conditioning •
OV• ER
V
BUILDING PERMIT APPLICATION COvT,N[.:ED -
BUILDING SPECIFICATIONS:
T pe of construct 1, wood frame, fire safe. etc. L/LY-)CP CAA f;`
Will any second-hand or upgraded lumber be used? If so. for what? A/
Foundation wall material klAJA/311 t Lo4, Thickness cry: ' ., /(, L24 S/i- 5 ‘r
Depth of foundation below grade (to bottom ofooting) A,/o U,
Will there be a cellar? 1\"> Heated or nheated? ,`-rit', Floor s footage
Will there be a basement? Will any po used as living space? tt-3-
(If so, what portion? J,)Ji\; �"'sci ft. Tye of use? 1\,43it'
Type of roof -sloped/flat/shed/other SLpt Material of roof c4„-< ,
Size, wood studs, "x Ce" spacing 1Cv " o.c. length < ft.
Joists (floor beamOlst floor "x /0 " spacing lb "o.c. span /2 ft.
—Joist_(flo4L - ";pacing ___-u Sp-1.--- ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters Z "x ( " spacing (1, o.c. span /0 ft.
--Rao.i-trusses (pre-ngineered) ._.s-�9irrg ft. god/
Exterior wall finish hty,,}?a►v)0( C `,p V.a)r��cii� of what material? (., -e
Interior wall finish
If a garage N to be N:/ed, de materials to be 1~or FJIRL�ARA'F1.O
.._ mod'.. ..�,
Is t re_to be-an-openingbe_t.at en e n welling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Wily Rote-bred_ ctrimnerie installed' Height above roof ft.
Depth 6f—chimney rids n below a `Y- ft.
Depttr fireplace hearth-.- ft. in. -
Wat-er suppler-_M-un-i pep�cvit-e we1"C'N
SE tans f_rdm' private_well (inc aiding-adjoining properties ft.
(A sep1ara ' application,is necessary for any repair or new installation of septic system)
NAME OF BUILDER u•�1 cL(> 7(o. ADDRESS'. t-o-%av TEL. NO. ,-)9 c (0Z Z
NAME OF PLUMBER ADDRES TEL. NO.
NAME OF MASON \r117S TEL. NO.
�1AME OF ELECTRICIAN - RSS TEL. NO.
DECLARATION
To the bastes l knowledge and-belief the statements contained in this applicaton, together with the
Msesand specificatient-sutkriitted, are a true and complete statement of all work to be don Ofte
he described premises and that all provisions of the BUILDING CODE, THE' ORDINANCE, and
ill other laws porting to the proposed work shall be complied h, ed not, and that
uch work is authorised by the owner.
Signature .r
t rftia(snt, arcAduct,"
IPECIAL CONDf EOK10! ?Ns plater
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BY
AL/WIN or. LUEENS8URY
APPLICATION FOR
.pis: ' 4)
ziia5 SEPTIC DISPOSAL PERMIT
aft
DATE � ,T`� ��
LOCATION OF PROPERTY FOR INSTALLATION i23 Si'-Y-L
1/4
Owner's Name: 14e v �,'t}2siTelephone:
Address: j r Q1
Installer's Name: k\N ) 2 &L Telephone: 7&7(2 Z
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) Less 5s J\ 4I'J /5�
Topography: Circle one: Flat, Rollin Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other 500m) G(►&)�(/Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one:('snot required required rate min. inch.
Domestic water supply: circle one: Municipal<Well Other - " ''
If domestic water supply is a well: =r . - r, -A "
Separation: Water supply from septic absorption / ccn 1 "--" feet - I
r� Ya o
PROPOSED SYSTEM: Septic Tank24 ' gal. (minimum size 1:1000'gal.) ______
i
TILE FIELD: Each Trench feet/Total system length feet z ,;), cC,
SEEPAGE PIT(S): Number of tea. e e: :. 1.': �, eet
Size of stone to be used # /Depth •r Thickness �� feet t�f I W- t N ic,
********************* 0,41
I have read the regulation on the reverse side of this heet and agree to bi y these
and all requirements of the Town of Queensbury Said ry Se ge is di ance.
SIGNATURE F R SPONSIBLE PERSON:
DATE: 2j 2d g 6 -
OVER
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures •
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks:
awn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION •&? 01 Xer
Date�� � / % Permit No.
* * * *1* * * * * * */* * * * * * * * * * * *
v't
Footing}'pier Forms
f = APPROVED - YES / NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing_;
Relief Valves
Ext. Porches
Finished Floors ` `
Interior Trim
Stairs & Railings 1�
Cellar Drain Tile 1/
Concrete Floors
Plbg. Fixtures
S
Gar. Fireproofin0 V
Door Closers
Smoke Detectors v/
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL: INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection' (call when ready)
Remarks-
\' e h
al/0 ng spector
6/86 and-vl
awn of Queen itur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL STEM ,INSPECTION
/
NAME 4Li /-J.:y/? -,
//LOCATION ,,/ (f/ �
DATE �f / `�� PERMIT NO. /',
SOIL TYPE — Sand - I;bam - Clay -
Percolation Vest Required? YES - NO
Percolation rate - Misn/Inch -
TYPE of SYSTEM: t
Absorption field, totl length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Nuhber o )
Size- ft. X ff.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box '_,
Dist. box to field/pit
Openings sealed? Yip NO Partial
LOCATION/SEPARATIONS: Tyk
Foundation to tank li, ft.
Foundation to absorptioik ft.
Absorption to lot line 1 ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PR ERTY(circle one)
Front - Rear - Left side Right side -
COMMENTS:
r
/>(/ / C ! " 74P/c•
7
i,A,
iP �//� V
0.,hv)
SYSTEM USE APPROVED S NO
Building I Spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ."00
NAME r[/)11/44(;17
LOCATION L %Qh �, f //—
'
/
DATE 0;74‹.- PERMIT # /
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING •
BACKFILL APPROVAL 1 •
ROUGH PLUMBING ';
+
FRAMING
ELECTRICAL ROUGFIN
INSULATION:
FOUNDATION
FLOORS VP$4 jeS •' g I 2 O
WALLS ' g* 9 f- /`//FJi2 • v
CEILING 2- g f/ // .Slj/ t
FINAL INSPECTION: ,
CHIMNEY HEIGHT
ROOFING
SIDING 1
EXTERNAL PORCHES/STOPS
STAIRS—CLEARANCE d E AILS
PLUMBING FIXTURES/ ' LIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFIgG i
DOOR CLOSER(S) b
SMOKE DETECTORS
FINAL ELECTRICAL ISPETION
_FINAL APPROVAL OF t ONSIrUCTION
OK TO ISSUE C/O Oft C/C
r 't;
A SIGNED CERTIFI ;`ATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPr D!
i
REMARKS:
•
ARRIVE ' •
DEPART
INSPECTOR
TOWN OF QUEENSBURY
fiN
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS '7
';s( 1
QUEENSBURY, NEW YORK 1280 O' I
TELEPHONE (518) 792-5832
BUILDING INSPECTOR`S REPORT
REQUEST FO INSPECTIO RECEIVED
NAME I/ ,t. t�l��) L l�_._ _'
4.
LOCATION , i>✓'c/mot V ' (f� A -�1
DATE l 59
PERMIT # ( -;%bN
APPROVED
YES NO
DOTING/PIERS
/MONOLITHIC POUR RMS `�,
FOUNDATION/DAMP—P OOFING
BACKFILL APPROVAL:`
ROUGH PLUMBING ,1
FRAMING '1
ELECTRICAL ROUGH—INS'
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STA.'S`'
STAIRS—CLEARANCE & •'I
PLUMBING FIXTURES/ 'ELIE VALVE
INTERIOR TRIM/PRI ACY D RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTOR"
FINAL ELECTRICA INSPECTION
FINAL APPROVAL nF CONSTRUCTIoN
A SIGNED CERT FICATE OF OCCUPA CY MUST BE
OBTAINED FRO THE BUILDING DEPARTMENT BEFORE
THESE PREMIS S ARE OCCUPIED►
REMARKS: /,/ - k/
' / Xt ) ?
/ '
I
t 1 v
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES, OR INSPECTION RECEIVED I Y
NAME _ �/
LOCATION Al 'I ;:,.>f /- �`v../'
DATE %/ y PERMIT # ,1 f }
: r
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAZ
1OUGH PLUMBING
/FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
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:
*5„,
4„,
IJ�G
C)
as
INSPECTOR
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