90-765 •
dERTIFICATE OF OCCUPANCY
or,
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 20 19 91
This is to certify that work requested to be done as shown by Permit No. 90-765
has been completed.
This structure may be occupied as a
foyer and den
Location Jay Road- Glen Lake
JOHN & DONNA DENNETT
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-765
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JOHN & DONNA DENNETT
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OWNER of property located at Jay Road, Glen Lake Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Alterations 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
Sylvan Avenue
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name
Mark Petramale s
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) o
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( kWood Frame ( )Masonry ( )Steel ( )
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7. PLANS and Specifications
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o. Alterations to dwelling as per plot plan, specifications and
application.
8. Proposed Use
Change breezeway into foyer and rear of garage into den.
$ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 6 19 91 m
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the phi
town of Queensbury before the expiration date.) c'
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Dated at the Town of Queensbury this 6th Day of November 19 90 tn
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SIGNED BY ,�,�yd ,7i for the Town of Queensburya.
'(� ui and Zoning Inspector rD
['OWN OF QUEENSBURY
REVIEWED B /414,/
4�� FEE PAID $ 0
11,711r1 PERMIT NO. 610 -li 625
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
IL BB MADE UNTO 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.
• • • • • • • • • • • • • • * • • s * • * • • • s • • • a • • • • • • • • • s • •
he owner of this property is: .3-01-1Nt DokhjA, 17S141.1 6TT
.O. Address �✓YLVAr^t AV�. G2UE��iSbc3iZY rl Y Tel.
roperty Location ,TAN l ottO C2V VE0.1Sf3ui21{ y- Tax Map No. /-?/7/ /
as there been any split of this property since October 1, 1988? / ✓
yes Planning Board Review is necessary. yes no
JBDIVISION NAME, IF APPLICABLE LOT NO.
iE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
ATURE OF PROPOSED WORK: • ESC:MATED MARKET VALUE OF •
Construction of a new building • CONSTRUCTION: $ Z5Or .92
_Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 545�x 1041x at ft x ft.
Alteration to a building , ,
Existing Buildings(3) Size s 2S� ft. x 3 C.1 fC�,402.
(no change to exterior dimensions) • 440osa
Proposed building - distance from property line:
_Other work (Describe) • Front yard 5no ± ft. Rear yard 4ot ft.
•
Side yards 3-7± ft. and 1± ft.
•
LOSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor 460 sq. ft. ' •
• OCCUPANCY INFORMATION
2nd Floor w401.4s sq. ft. • Primary Building -
Other Floors t.lour sq. ft.
• ✓One Family Dwelling
(not cellar or basement) • Two Family Dwelling
)TAL FLOOR AREA 46sq. ft. • Multiple Dwelling/Number of units
to of new structure ft x ft. • Business
,undatIon-pie ('NM partial/full • Industrial
(circle one • ___ _Other ti Jal i,u .-A) r,.,_'z
I. of stories (habitable space) ( • rAit
•
light (grade to ridge) ( ,' ft. • If addition, what will use bel
residential, no. of families, t Fa,n,t i L y •
of rooms(excluding baths) 3 •
Accessory Building
. of bedrooms f.i we • `_Detached Garage ONE/TWO Car
)0 of bathrooms W o f.l E. •
imary heating system, !-ion -AIR. • _Attached Garage ONE/TWO Car
pe of fuel o_ • Private storage building
). of fireplaces to be installed +aoN.te, •
ill a wood stove be installed N • _Other
antral Air conditioning 1.1Oi4G. •
Ova ER
a
BUILDING PERMIT APPLICATION CONTINUED - I'
BUILDING SPECIFICATIONS:
Type of construction, wood f = e, fire safe, etc.
Will any second-hand or upgraded lumber be used? If so, for what? ►•lord'✓
Foundation wall material a" 2,Locag, Thickness
Depth of foundation below grade (to bottom of footing) 4
Will there be a cellar? ►401.4e Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? 140 e Will any portion be used as living space? c I,Ltr
(If so, what portion? • sq ft. Type of use?
Type of roof sloes • flat/shed/other Material of roof 20 `(Z. i t4C- LES
Size, wood studs V_ "x C' " spacing k'g " o.c. length b ft. E 'toe %U4t-t--s
Joists (floor beams) 1st floor 2 "x Cp " spacing IC, "o.c. span (, ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceilia beam`) 9.— "x " spacing 1Co "p.c. span IO ft.
-11
Roof rafters 2. "x fr, " spacing LC,o.c. span t[Ot ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish 02. Gp u -7Y vt✓1C , V►t.[.Y I_„ of what material?
Interior wall finish r?nc_e y2tt
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /a cope
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided? BaIGi.mm ,L 9 ST ee,L. cps' �T l.,� �5� Z..F-C�- t Me
Will a flue-lined chimney be installed? ktc) Height above roof ft.
Depth of chimney foundation below grade ^ ft.
Depth of fireplace hearth ft.-- in.
Water supply - Municipal or privy 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)
•
FAME OF BUILDER {,4AQk p61 �,a4ADDRESSWorn "� TEL.� N11rrtR �. NO.Z92 {•ZR°
FAME OF PLUMBER 1461,1e ADDRESS TEL. NO.
FAME OF MASON,f 17611ZAIMA1,6 ADDRESS TEL. NO.
'AME OF ELECTRICIAN L ig_a2 ADDRESS C4 ISTtt 10kk1 a TEL. NO. 1C1¢— 5S1 j
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
ans and specifications submitted, are a true and complete statement of all proposed work to be done on
le described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
1 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
Ich work Is authorized by the owner.
Signature NA74
Owner, owner's agent, architec contrac or
'ECIAL CONDITIONS OF THE PERMIT:
BY
TOWN OF QUEENSBURY Ll G t c
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 Y UCrGL4-
TELEPHONE (518) 792-5832 iir .{UU`�y� tom,
BUILDING INSPECTORS REPORT y�
EQUEST FOR INSPECTION RECEIVED -0'
LAME Jubi L`) (A) (iAC n,A.L:
.00ATION I1r�11L�7rJ � 41
IATE. // , / PERMIT # V�;) - �
-YPE OF STRUCTURE / 'dl
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
IONOLITHIC POUR FORM
'',EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS F: LOWING
"HE PLACEMENT OF THE CON RETE.
IATERIALS FOR THIS PURPO'- ON SITE
'OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
ACKFILL APPROVAL
TOUGH PLUMBING
'LUMBING VENT/VENTS IN P As
'LUMBING UNDER SLAB
.RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAI ,BEAM
IRESTOPPING 1
WALLS
CEILING
IREWALLS
IEATING ROU'`-IN
NSULATIO :
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LL S R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
;EMARKS:
/cepiy.),&&-J
d, L /2?C
ARRIVE
)EPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /'
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4,3A 1
NAMELv /0 / �JI(l /,Yi j'z,-
LOCATION 1(94{
DATE /,' /3 9', PERMIT # ;p j�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
(I
NSULATION:
FOUNDATION
FLOORS
WALLS p- /9
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
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
►RRIVE I
)EPART
' INSPECTOR
TOWN OF QUEENSBURY a
BUILDING AND CODES DEPARTMENT '
BAY & HAVILAND ROADS / 'Li
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST OR INSPECTION RECEIVED
fr f I a
NAME y�1 )07. 2 �//
LOCATI .UAi-
i ,
DATE 1 /042PERMIT # :1- 7,J
�� 1 APPROVED
� �'d/'r?�/ l ( , .�L-e e„, 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 s
ROOFING
SIDING s.
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & 12AILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
z. ///
►RRI VE
i"
)EPAR: '
INSPECTOR