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88-785 110 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 17 19 89 This is to certify that work requested to be done as shown by Permit No. 88-785 has been completed. This structure may be occupied as a One Family Dwelling/New Roof Location" Jay Road Glen Lake Owner Gorman Rich By Order Town Board TOWN OF QUEENSBURY ' J Building & Zoning Inspector BUILDING PERMIT 1-9 TOWN OF QUEENSBURY No. 88-785 z WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gorman Rich OWNER of property located at Jay Road Glen Lake Street,Road or Ave. in the Town of Queensbury,To Construct or place a New Roof 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 22 Woodcrest Drive South Glens Falls,New York H 2. CONTRACTOR or BUILDER'S Name 0 r1 0 w 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) H ( )Wood Frame ( ) Masonry ( )Steel ( ) 0 7. PLANS and Specifications co No. Increase Roof Pitch as per plot plan, specifications, and application. 8. Proposed Use New Roof/One Family Dwelling 5.00 C/O $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 1989 (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.) October Dated at the Town of Queensbury this 17th Day of 19 88 SIGNED BY 7‘4646_,e, 1-/c. for the Town of Queensbury Building and Zoning Inspector �( , y INTERIM BUILDING- FERNIER- E COPY ge -7g5 PERMIT APPLICANT 626 2L..;4 CONSTRUCTION LOCATION «. 2 /e,,7 4 EFFECTIVE DATE ///a /'8' APPROVED BY ✓ ; •� e t / -s-s e • SPECIAL CONDITIONS : 1. Lei S�ry _ ,e✓��c ,�1Zeo f CLii'm'�"�j //"/'ems 7' This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit, the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit from the Building Department, following processing . POST THIS INTERIM PERMIT IN A CONSPIC US ATION ! ! Building & Codes Department TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. Foundations Footings, before pouring concrete. 2. Foundations Inspections and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework. 4. Insulation - Foundation, Floors, Walls, Ceiling. 5. Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. 7. Final Inspections before Certificate of Occupancy is issued. THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT R ec e.0 ed /0/4 Tie N Cr- E ;A . )�` 1211 i Revs ewed /o /.2 $� i .,,m �, >?, ‘/Ailaiffe Rom/ ET 6199� ,�„ ' Fee Paid /6% °1� ' '' !1.. NG CORE DEPT. BUILDING AND CODES UI PARTP'tMT Date Iaeued ' ,, 4AY and HAVILAND ROADS RD 1 Box 98 �� , ' .,4J / r 1 OUEENSBURY,NEW YORI: 12804 Perm i t No. stir- , c r S c" ), '' Tel . (518) 792-5832 Ext 204 . .. .* * * * * * '* * 1 * * * * * * * * * * * * * * * * * .* * * * * * * * * * * A PERMIT MUST B11 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS lt`ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces on this application must be completed and the s-ii1 ature of the applicant must appear on the reverse side of this sheet . * * * * * * * * * * * * * * * */ * * * * * * die * * is * * * * * * * * * The owner of this property is : f(M,hf�V N. r/4),L-4 �7 P . O. Address V�to®op1i t ,�r//�t"�/U� .�D(� �SJ�i�'.4--5 TEL. 2 9 7 7 Property location h �� 7 L 1--til 1--4Xe-- TAX MAP NO. 47/3/ / / Has there been any split of this property since October 1, 1988? Y s/ no If yes , Planning Board Review is necessary. SUBDIVISION NAME , IF APPLICABLE _ LOT NO . The person responsible for supervision of work as regards Building Codes is : fie 0214 /d/�, . M a2t,�1141if �� /4 17, 792-feel NAME P .O. ADDRESS TEL. NO . Name of builder Address Tel Name of Plumber Address Tel Name of Mason Address Tel NATURE OF PROPOSED IhORK: ZONING INFORMATION (Office use only) 1 * Construction of a new building * ZONING DESIGNATION OF PROPERTY _Addition to a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building * (no change to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Other work (describe) * SITE PLAN REVIEW # APPROVED DATE / W4 l9O.P- P/ram i/- * * VARIANCE # APPROVED DATE ' GROSS AREA OF PROPOSED\ STRUCTURE * Remarks: 1st Floor sq ft . * 2nd Floor sq f t . * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 1;i ft X ft- Other Floors sq ft . * Existing building(::) Sizej' ft X �' Ct. (not cellar or basement) * TOTAL FLOOR AREA_ sq f t . * Existing building(s) Use 41.envv size of new structure ft X ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Front yard ft Rear yard ft No. of stories (habitable space) * Side yards ft and ft height (grade to ridge) ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORJMATICN No. of bedrooms ** PRIMARY BUILDING - No. of bathrooms One family dwelling Primary heating system * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed-�_ Permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE * - Industrial , - Other ///G el-sr_l s Y fi6? p/te/e` Parch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex tlplit level Old st le bungalow * Cape Cod ottaga Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLI: ONE PLEASE ) * Attached garage/one car/ two car/ . car * * * * * * * * • * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $- r � * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: Form BPA 10/ vI i . EUILDING PEh!•tIr APPLIia+'i`1011 COUTIUUED - • WILDING SPECIFICATIONS: Type of construction, ood Erato, , fire safe,ete. Will any second-hand or rid lumber be used? If so, for what? ND P$ Foundation wall material 10-C J kO Thickness y� Depth of foundation below grade (to bottom of footing) Floor sq. footage sq ft will there be a cellar? Heated or unheated? Will anyportion be used as living space? L` Will there be a basement? Will use? (If so, what portion? sq.ft. - - Type of 'type of roof - slope /flat/shed/other Material‘of roof �i6�1r1]' Yo " s acing "o.c. length ft. Size, wood studs X p X„ -- spacing ��o.c. span ft. Joists(floor beaus) 1st. floor —"— "—„ s acing "o.c. span ft. Joists (floor beams) 2nd. floor X_._ p ft., Overlays(ceiling beams) �_ "X A? " spacing %e "o.c. span ��y c000 "X d7 " spacing_/G o.c. span _ft. pia tA�t scoot rafters "o.c. span ft. Roof trusses(pre-engineered) spacing Of what maerialf Exterior wall finish / "/nLytee4 D Interior wall finish If a garage is to be attached, describe materials to be used Ai RE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Firerrated door, enclosure, and self-closing device be proiiideh t above roof ft. Will a flue-lined chimney be installed? ft. Depth of chimney foundation below grade Depth of fireplace hearth tt. in. Water supply - Municipal or private well ro ertias . (A separate applicationfft SEPTIC SYSTEM _ Distance from ANY private well(inCludincg adioiningapion of eepti t. is necessary for any p air or ) 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 d arid escribedrpremises and ntthat taall provisions of the BUILDING CODE, '17i1'. ZONING O� specified or not, and that such work is the proposed work shall be complied with, whether s� authorized by the owner. ✓ Z/1 Sig nature -ice-•1 - for Owner, owner's age,nt,arcnitcct,contrac * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF T11E PERMIT: By TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 ` 7,2TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / - NAME __7,4 - j - D, --- LOCATION ;?4,"( 4, G1 DATE / - I PERMIT # ff- 7 ' APPROVED _./Ol> YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION P-PROOFING BACKFILL APP VAL ROUGH PLUMBIN ING ELECTRICAL ROUGH1T,IN INSULATION: t FOUNDATION FLOORS WALLS ILING NAL INSPECTION: 2 / CHIMNEY HEIGHT1/7 ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VAL .', INTERIOR TRIM/PRIVACY DOORS FINISHED F ()ORS GARAGE FIREPROOFING s_ DOOR CLOSER(S) SMOKE DETECTORS j FINAL ELECI'RICAL INSPECTION FINAL APPRbVAL OF CONSTRUCTION a A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 1 INSPECT R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FORK INSPECTION RECEIVED /'/g NAME _ ,/c/ l7 C-k- �'� LOCATION c? I _ DATE 7-/ PERMIT # ,,,f' 7t5 A' - i APPROVED da YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROjjGH PLUMBING / - -RAMING y/ ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STOPS STAIRS-CLEARANCE &`RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOOR$ GARAGE FIREPROOFING DOOR CLOSER( ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION v FINAL APPROV L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! 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F MI SE • r_ .- _,' OWNERAND ONTRACT IREMENTS:THEYSHALL VERIFY L IM SHEET , PR IM Y RA NG D1N S . _, C ORSSHALL-CONSULT APPLICAGCE BUILDING CODES 70 INSURETHAr#MANS ANDDEIAILS.CON ORIVITO ALLREOU A L D ENSIGNS BEFORE + ., . t?ATE. , TE . - iD . -�.: OCEEDING WITH ;CONSTRUCTION WORK AND SHALLNOTIFY PROFESSIONAL BUILDING SYSTEMS DRAFTING DEPARTMENT OFANY DISCfIEPANCIES'BEFORE WORK IS'PERFORMED. . - - , .,�' - . ,. PROFESSIONAL BUILDING Y H N T Y D THE FAILURE TO FOLLOW THESE PLANS ANDD AI S. ` OF _ S STEMS S ALL O BE RESPONSIBLE FOR AN A DITIONAL COST ORSTRUCTURAL PROBLE�AS RESULTING FROM E7 L " ,�. _ ..; _ DRAWING N0.�" GD�_ .ORDER NO -i' , ,: , -:, - - : . _ _< :,g .s. :- - _ - ,. a _ - ,,,, u - ..,_ s