88-462 t
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 14 19 9°
This is to certify that work requested to be done as shown by Permit No. 88-462
has been completed.
This structure may be occupied as a Alteration - roof over boat storage & garage
_tion 117 Mannis Road
Loc
Owner Richard and Joyce Ward
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 88-462
No.
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Richard & Joyce Ward `
117 Mannis Road
OWNER of property located at Street, Road or Ave. ,!
in the Town of Queensbury,To Construct or place a Alteration - roof over boat storage & 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 isFi
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Same
2. CONTRACTOR or BUILDER'S Name
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Same
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3. CONTRACTOR or BUILDER'S Address h
Same
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4. ARCHITECT'S Name
5. ARCHITECT'S Address tn
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( 1 Masonry ( )Steel ( ) 0
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7. PLANS and Specifications A
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No. 22 X 22' roof over boat storage and garage as per plot plan, I
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drawings and application 0
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8. Proposed Use
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Alteration - roof over boat storage and garage 0
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5.00 C/O g
$ 5.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89 rt
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) 0
Dated at the Town of Queensbury t ' 30th Day of June 19 88 N
SIGNED BY for the Town of Queensbury ti
Building and Zoning Inspector
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TO BE COMPLETED BY BLDG. DEPT.
// Application No. TO ., t .7' _
�(JWII uI Queei�91)1ir� Permit Issued 19
BUILDING and ZONING DEPARTMENT c LI `
Permit Expires 1� , , `d + ; +
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 5 fs
Queensbury, New York 12801 Variance No. JUN 251988
Site Plan Review No.
BUILDING & CODE DEPT.
Approved by: ,/a.
APPLICATION FOR �r f / . - --
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FUILDING AND ZONING PERMIT � t`� `U,da
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * I. * * * * * . * * * ::*
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.
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The owner of this property is: .,..e .. -,,�/ ,, � f;l--/-'-,� e /,/z,,";. ,/
P.O. Address /° /"1.. r� / -1—, ;/ /, `l?, Tel. .a .
Property Location: -: a Tax Map No. -r' / / / `� -'
Street number or building lot number (��
Subdivision name (if applicable) ,
THE PERSON� RESPONSIBLE', FORWORK AS,SUPERVISION OF REGARDS BUILDING CODES IS:
Y-'ji `u V& i..)`°(
'----- Name P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber 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,
_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 c,imen ions) * whether existing or proposed and indicate all
Other work (describe) i +`/�'4;;,r, 6,4- A * set-back dimensions from property lines. Give
i -� ; % f�^ 6 i'l * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. ;? �`; ,7 of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use
Size of new structure '9 2 ft X 2:,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 f ilies
No. of rooms(excluding hs) * OCCUPANCY INFORMATION
No. of bedrooms,
* PRIMARY IIUILD NG - j� �
No. of bathroom * One famil dwelling ( i 4t-
Primary heating c em
Type of fuel * Two fai ' y dwelling
No. of fireplac s t be installed * Multip dwelling / Number of units
Will a wood stove be installed? * Perna ent occupancy
Central Air conditioning? * Tran ient o cupancy
II ness*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other be?
Raised ranch Mansion Duplex * If addition, what will use .
Split level Old style Bungalow *
Cape Cod Cottage Other * AC ESSORY BUILDING-
Colonial Row Town House * Y etached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ 7 car
* * * * * * * * * * * * * * * * * * Private storage building y'
^ESTIMATED MARKET VALUE OF * Other
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CONSTRUCTION $ � � ere) *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form IPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
type of construction, wood frame, fire safe,etc.
dill any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
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? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material. of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft. .
Roof rafters "X " spacing o.c. span ft.
RRoof trusses(pre-engineered) spacing / l "o.c. span ft.
Exterior wall finish ;'iL 't , a Of what material?
Interior wall finish
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? ft.
Will a flue-lined chimney be installed? _ Height above roof
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well properties ft.
SEPTIC SYSTEM — Distance from ANY private well(including adjoining pro p
(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 t-� I.IL �r__)1`21. Je
Owner, owner's agent,arcni.tect,contractor
day of ,„_. 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY /
BUILDING AND CODES DEPARTMENT /f ' ( ,
BAY & HAVILAND ROADS 1
QUEENSBURY, NEW YORK 11280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
C�/
REQUEST FO INSPECTION RECEIV D � �O /A-„,
NAME / `-2 (1 /'`a 4 ' flit(
/�
LOCATION 1/1 -�L.��f..�-� /
DATE �//j/ 0 ERMIT # pe 11L'
/ A PROVED
C A_I.,e /ES NO
FOOTIN PIERS
MONOL HIC POUR FORMS
FOUNDATION/DAMP—PROOFI
BACKFILL APPROVAL & /
ROUGH PLUMBING
FRAMING i \\\///
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
;'I INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RA
PLUMBING FIXTURES/RE E VALVE
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INTERIOR TRIM/PRIVAC# D.*RS
FINISHED FLOORS 1 _
GARAGE FIREPROOFINI'
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL v' SPECTION
FINAL APPROVAL 0 CONSTRUCTI
OK TO ISSUE C/O :OR C/C
A SIGNED CERT ICATE OF OCCUPA CY MUST BE
OBTAINED FRO •THE BUILDING DEPARTMENT BEFORE
THESE PREMIS S ARE OCCUPIED!
REMARKS:
•
•
ARRIVE
DEPART'
PECTOR
TOWN OF QUEENSBURY 1)itl
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUE/55.77 INSPECTI N RE EIVE 1 I30 h0 11.1
NAME C.
U ,
LOCATION , I /�A �Q p�Q,
DATE 1136I q b PERMIT # F6 " P
/2__
I q �, ,L APPROVED
IC/( �ea(, � � YES NO
/
FOO NG PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILLAPPROVAL
ROUGH 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
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:
qyage./ — '1/4-0 ( 1-?DiLS
ARRIVE
DEPART
INSPECTOR
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