92-394 • CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 12 19
This is to certify that work requested to be done as shown by Permit No. 92-394
has been completed.
This structure may be occupied as a kitchen
LocationGl en Lake Road
Owner Edwin Winchip
By Order Town Board
TOWN OF QUEENSBURY
146147koin.,
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 92-394
WARREN COUNTY, NEW YORK
at
PERMISSION is hereby granted to Mr. & Mrs. Ed Winchip ro
OWNER of property located at Glen Lake Road
p p ty Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to Dwelling
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
Y
3
2. CONTRACTOR or BUILDER'S Name
Hilltop Construction a•
a
0
3. CONTRACTOR or BUILDER'S Address m
4. ARCHITECT'S Name 0
I—
a
5. ARCHITECT'S Address P
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( ) Za
e'h
7. PLANS and Specifications V
0
No. 148 sq ft Alteration to Dwelling as per plot plan specifications
and application
8. Proposed Use —+
Remodel Existing Kitchen t°
$ 4.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 7, 19 93
(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 Queensbur • yof July 19 92
SIGNED BY for the Town of Queensbury
Building a oning Inspector
TOWN OF QUEENSBURY _ )
REVIEWED BYJ �d�
C1-------
.� 1�,� FEE PAID $ ,It --
� � PERMIT NO. Q� ?1q1
,Owtv OF QuEeNse
BUILDING PERMIT APPLICATION RECE'ItiFD 1 r.'
JUL 2 1992
stz A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. U itiS '8 .
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: Mr, q. `M rS • ck- E \h\1► , p
'.O. Address 0 let.) Lake Ro Tel. rj o?- II 00
property Location E3arr a Tax Map No.362 ,/./ 1 7
las there been any split of this property since October 1, 1988? / N
f yes Planning Board Review is necessary. yes no
;UBDIVISION NAME, IF APPLICABLE LOT NO.
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
1 t , ffi p 0or i rat'on 0 T C!efj^: R(u\\c , -,k-nc .
•
NATURE OF PROPOSED WORK: • ESCIMATED MARKET VALUE OF -
Construction of a new building • CONSTRUCTION: $ (2?!/ COO
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
/,. * Size of property ft x ft.
Alteration to a building : • Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) *
Proposed building - distance from property line:
Other work (Describe) * Front yard ft. Rear yard ft.
pp •
ren"c ,p F.}(i5ti 1,16 i-i-r 1i�1/ Side yards ft. and ft.
•
;ROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
•
1st Floor sq. ft. OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • - Pri pa[ry Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement) e Two Family Dwelling
'OTAL FLOOR AREA__ 1418 sq. ft. • Multiple Dwelling/Number of units
size of new structure ft x ft. e Business
'oundation-pier/slab/c..:. :' rtiadfull
• Industrial
(circle urn.; • Other
:o. of stories (habitable space) •
!eight (grade to ridge) ft. • If addition, what will use be?
f residential, no. of families . •
No. of rooms(excluding baths) a Accessory Building
No. of bedrooms ' _Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system • ,__,__Attached Garage ONE/TWO Car
rype of fuel • _Private storage building
•
No. of fireplaces to be installed
• „_,___Other
Nill a wood stove be installed
•
central Air conditioning
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded lumber be used? If so, for what? ('O
t
Foundation wall material K Pt Thickness
Depth of foundation below grade (to bottom of footing) ti A
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? \.Will any portion be used as living space?
(If so, what portion? sqType of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacinj/ " o.c. length ft.
Joists (floor beams) 1st floor _"x ' " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Dverlays (ceiling beams) "x " sp ing " o.c. span ft.
Roof rafters "x " spacing o.c. pan ft.
Roof trusses (pre-engin Bred) spacing " o.c. span ft.
:xterior wall finish ' of what material?
nterior wall finish .skeet y d c K-
f a garage is to beattached, describe materials to be used for FIRE SEPARATION:
F,300 �, re rr`a"e d ci oa r n S i e d
s there to be an opening between garage and dwelling? \,)e 5If so will a Fire-rated door, enclosure,
elf-closing device be provided? e 5 I
Vill a flue-lin chimney be installed? Height above roof ft.
)epth of chimney oundation belcfl grade ft.
)epth of fireplace h rth ;` ft. in.
Vater supply - Municipal or private well
;EPTIC SYSTEM Dist ce rom ANY private well (including adjoining properties ft.
A separate appli lion is nec sary for any repair or new installation of septic system)
kME OF BUILDER`N 1 ) 1+P iC7i1_,--t . ADDRESS �L/ 4)/.,�eeil5'1U EI O. �S 1.3 ;.
`7
et.ME OF PLUMBER ADDRESS )/ f 56u. ,-- /U)/TEL. NO.
‘ME OF MASON ADDRESS TEL. NO.
kME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
ins and specifications submitted, are a true and complete statement of all proposed work to be done on
described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
:h work is authorized by the owner. is
Signature t ter% � CL b-'I ;C-
Owner, owner's agent, architect, contractor
ECIAL CONDITIONS OF THE PERMIT:
•
BY
TOWN OF QUEENSBURY ,�y�
531 BAY ROADAft
��
� 04
`' j TELEPHONE745-4447
(518) 28
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 145/mil G
NAME 1 �l' � ✓il/�p�
LOCATION 4< � , y,,10 1
DATE `'/f 9 PERMIT# 92 J9
TYPE OF STRUCTURE 11 dz,0v.�44-
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BAGKFILL 4-FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
ULATION WOODSTOVE/FIREPLACE
REMARK ), I, tt? (Xleke
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ti-
B VENT/LOCATION v'
PLUMBING VENT ✓
ROOFING
SIDING ✓
DECK/PORCH/STEPS/(FAILINGS +/
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/P,.RIVACY DOORS ✓
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT L.---
OTHER FLOORS SWEEPABLE ✓
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING ✓
GARAGE FIRE PROOFING
DOOR CLOSERS c�
OTHER FIRE SEPARATION ✓
FIRE/DEMISE WALLS ✓
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ✓
COMMENTS: _
ARRIVE
DEPART
INS ECTOR
TOWN OF QUEENSBURY fait)
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 /91r)
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED V:g�
NAME -hi/ , Z� 7ZCJ
LOCATION 'Z t X(LP/ Mi
DATE n : alt.
# 9.2-A 3 E/
GC �
TYPE OF STRUCTURE l; . �
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
,FRJACKGSTUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- 5
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
PIA cc; r 6 'Li (i) 1 `Vr+c'1
f iZs' 1 6-126k/44-S
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