91-096 cam►
CERTIFICATE OF OCCUPANCY
TOWN
WARREN COUNTYOF , NEWQUEENSBURY YORK
Date June 12, 19 91
This is to.,certify that wOik requested to be done as shown by Permit No. 91-096
has been completed.
This structure may be occupied as a Family Room
Location Cleverdale Rd
Owner Mr. & Mrs. Thomas Longe
By Order Town Board
TOWN OF QUEENSB RY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-096
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Mr. & Mrs. Thomas Longe
OWNER of property located at Cleverdale Road 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 ¢°
27 Underwood Drive 3:
Saratoga Springs, NY 12866 :^
r
2. CONTRACTOR or BUILDER'S Name 0
A Collins Construction
3. CONTRACTOR or BUILDER'S Address
108 Saratoga Circle c,
Saratoga Springs
4. ARCHITECT'S Name a
fo
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
30
(Xl Wood Frame ( ) Masonry ( )Steel ( ) e+
fD
7. PLANS and Specifications C
No. Renovation to house-demolition/new windows as per plot plan 0
specifications and application 0
8. Proposed Use
Family Room
$30.Q0 PERMIT FEE PAID—THIS PERMIT EXPIRES March 21, 19 92
(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 21 Day of March 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
`
i REVIEWED BYeallFEE PAID i ''''°jam ' , /r
�P
5 * IF PERMIT NO. z 1.f, r `
�%" TOWN OF CIUEENSBURY
BUILDING PERMIT APPLICATION RECEIVED
MAR 19 1991
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTISIEDEN.1NPECRSPOTIS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUiLD[NG 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 . and Mrs . Thomas Longe
P.O. Address 27 Underwood Drive Saratoga Springs 12866Te1. ( 518) 584-1739
Property Location Cleverdale Road; Cleverdale Tax Map No. 12 it ; 1
Has there been any split of this property since October 1, 1988? / X
It yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Mike Bergeron c/o D.A. Collins Construction Co . , Inc . (518) 792-5864
•
NATURE OF PROPOSED WORK: • ESEMATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: S /O Goc'
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size o ro elf ft x ft.
Alteration to a building • Existin ds( i ft. x f
(no change to exterior dimensions) • �,,
Propo - • ` - istence from property line:
X •
Front y . . ft. Rear yard ft.
Renovation to house-demolition/ Side yards ft. and ft.
r new windows • '
G -1�er.-PS(2E.OSED ST T_URE-_1 If on corner, setback from side street ft.
1st Flo /q. •
OCCUPANCY INFORMATION
•
2n loor sq. ft. • Primary Building -
0 sr lours sq. it. • One Family Dwelling
(n cellar or,basent) • x Two Family Dwelling
AL FLO A Asq. ft. • Multiple Dwelling/Number of units
Size of w tru tut* ft x_ft. • Business
F er/slab/crawl/partiai/full
• Industrial
(circle one) • Other
•
o. stories (habitable spat ) •
eight (grads to ride) ft, • If addition, what will use be?
j
If residential, no. of families •
No. of rooms(excluding baths) •
Na of bedrooms • Accessory Building
Detached Garage ONEtTWO Car
No. of bathrooms •'
Primary hating system___ • ___Attached Garage ONE/TWO Car
Type of fuel • __Private stora
ge building
No. of fireplaces to be installed_ • Other
Willa wood stove
_be installed •
Central Air conditioning •
OV• ER
1
BUILDING PERMIT .APPL1C.VTIOv COvTf cL ED - .•
BUILDING 3PECIF[C.ATIONS:
Type of construction, wood frame, fire safe. etc. •0000-‘)
Will any second-hand or upgraded lumber be used? If so. for wha . p
Foundation wall materialr4s/cCi 70 f�
Depth of foundation below grade (to bottom of f oting 5
Will there be a cellar? Heated or he ed° Floor sq. foot e sq f
Will there be a basement? # Will • p • ' n be used as living space? IC ft'
(If so, what portion? s t. Typ use?
Type of roof - slo, ed/ s o er Material of roof
Size, wood studs 'Z-- ' x " spacing ( " o.c. length ft.
Joists (floor beams)-1 floor "x . " spacing "o.c. span_ft.
Joist (floor beams) 2nd floor "x " spacing . "o.c. span t.
Overlays (ceiling beams) "x " spacing " o.c. span ft.____
Roof rafters "x " spacing o.c. span ft. Pi)
Roof trusses (pre-engine e ) spacing " o.c. span ft.
'
Exterior wall finish ,�j of what material?
Interior wa11 finish 64.4 a
If a garage ft to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwellin . If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft. /�
Depth of fireplace hearth ft. in. {�(
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining roperties ft.
(A separation application is necessary for any repair or new installation of septic system)
108 Saratoga Circle
NAME OF BUILDERD.A.Collins Const .ADDRESS Saratoga Springs TEL. NO. ( 518) 792-5864
it It it
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN/ gi , ADDRESS-0TEL. NO. 4. V217-3i6
,.
DNCL&1A a. .
To the tam of toy knowledge and belief the statements contained in this application, together with the
and specification; a- fitted, aire a true and complete statement of ill;proposed work to be dots?on
.he described premix** and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
uch work is au rued by the owner.
�; t
Signature t.u► .. a `Olt ,-
` (Ow , owner's agent, architect, contractor
i CUL COND N 01P THE PEItkr s4 . c151-'l;k,1 " A R A+6-4/1 `2-"'° %Cc. ,
( .A' ' :ricyt5 IJLCL .,JeS okiL4 AA1It:/ A4 ,moo
BY
S __ cLVA
P.O. BOX 86,CLEVERDALE,NY 12820
(518)656.9986.656.9956
PERMIT AUTHORIZATION
John A. Mason/Sunsoval, Inc . is authorized to act as my _
agent in obtaining permits from the following agencies :
_ Town of Fort Ann
X Town of Queensbury
Town of Lake George
Town of Bolton
X Warren County
_ Washington County
X Lake George Park Commission
N.Y.S. Dept . of Environmental Conservation
U. S. Army Corps of Engineers
DATED: 3 7 q/ SIGNED: Cs � Z- �`"`
7\
• TOWN OF QUEENSBURY
Bay at Haviland Roads,Oueensbury,N.Y.12801-9725
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date40.41
// 19 9 j Permit No.7 �� '
APPLICATION IS HEREBY MADE to the Building Department for the issuan •a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all
applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow all
ins ectors to enter p emises for the quir inspections.
Amelmn Name APPLIANCE TYPE - 1;.<144 ��St Coal Wood
Address 3. 1 ket-r LQx t.A.w oc, si D C Furnace Hot Air Boiler
Zero Clearance Circulating Unit
54.z-#1/4-*0 S N` . Zip 12 W (.0 to
P one If Non-Masonry:
r,it'.4" ... Name Q/9 6-€721.4(-42,..../ t . .
Manufacturer '`
A d •ess Model I 1 - ' ) tf6 Siz
Zip I ( Listed b4 • uttlb r
Phone 6 6 Li 98 S CHIMNEY-TYPE ',;-. ,,-.,
Masonry: Block --_ _,Brick ,.•� le k
Flue: Tile _Sfect -----�-- Is-
--
PrtrpMi-ty to �tl' 1 o oposed tru � R
o Size: t e k 1,
Factory Built: ,
Manufacturer Model 'Si
COPY OF MANUFACTURER SPECIFICATIONS IS Height Listed By Number
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall Triple Wall
AND CHIMNEYS.MUST BE INSTALLED Insulated-----___ "i
ACCORDING TO SPECIFICATIONS. COPY OF -
241
CONSTRUCTION DETAIL REQUIRED FOR MA- Es�tifnated c Cost$J(34
SONRY FIREPLACES AND CHIMNEYS.
ARTMENT CASHIER'S DEf?
TOWN OF QUEENSBURY, NEW YORK
__} 1
`� '•1
J)j artment: Fire Marshal Amount Collected Amount Refunded
Code Number Title g95-
A 173 3389 -1190)Public Safety
A233 2655 (230) Minor Sales
C,---
ollected from or funded to: \J 7'Y/Q,1 i...
Address:
Dated: 4/1 4? ig
I Town Clerk or Deputy Ac.„) ,
,,,,,
White:Applicant Yellow and Pink:Cashier's Department G enrol:Fire Marshal
TOWN OF QUEENSBURY -C
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804 A/i)
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED /T
NAME ' J-47Vi7t-
LOCATION Q., ���, +� fC
DATE7"(z: PERMIT# q - (,'7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHIN. S STEM
HOOD INSTALLATION
AUTO. SPRINKLER ` STEM
ALARM SYSTEM
INTERIOR FIN HES
STORAGE:
CLEARANC' TO SPRINKL:RS
CLEARAN' TO HEATING UNITS
REQUIRED S GNAGE
CHIMNEY
WOODSTO E
FIREPLA' E-MASONRY
FIREPLA E-FACTORY BUILT t/
REMARK' : I I OK TO THIS DATE
Ose CV /6erirt
4,it 94k rfi ,,
2/015 INSPECTOR
TOWN OF QUEENSBURY /037
BAY
QUEENSBURY, NEW RYORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED lri���/
NAME 4-275/--
LOCATION4. .Pd/Q1,_- 6 —
DATE h jQ/1/ PERMITS Q/h ��
TYPE OF STRUCTURE / 4C 7 /= t',././W/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL 4FRAMING
ROUGH PLDJIBING FINAL ELECTRICAL SEPTIC
1zINSULATION WO56STOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS `AYES NO
REMARKS fivor ,) .� 4' //
,..›2"dy/4122_ ,/.46_,4:(22.(ifilsktfAial4ei
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS x
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOOR$
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS 1
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATING X,
GARAGE FIRE PROOFING PIZ -E ciSTIAA
DOOR CLOSERS
OTHER FIRE SEPARATION y.
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C 5 - &O )
COMMENTS:
4'%K( Al 1 ,4-L PrP P(2ou A-t_
/Cf ,t1 /Ss; C---(O
ARRIVE
DEPART Id 2
d&A/ 1
TOWN OF QUEENSBUR r/Ll
FIRE MARSHAL j
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832 4, 4A
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 0*/
NAMES 1
LOCATION (%/a C/Lth
DATE 64/ O f 7/ PERMIT#
5; APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE: ` z,
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY "Ve
WOODSTOVE ✓/
FIREPLACE-MASONRY ►
FIREPLACE-FACTORY BUILT
REMARKS: LJ OK TOTHISSDATE
it,4 016/Le,
D
ARRIVE
DEPART ))11( bd .\
INSPECTOR
A
q,hk->(S 6-Q•kv1 6r in
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1 / /(/ /
NAME ) k c jerAf"f
4 , ,
LOCATION ? /( I 'C-i/C '4 f - v`\C DATE L//j CV`� / PERMIT # 2)1 —09 (,)
TYPE OF STRUQTURV -�� ; (k)( 1/
.I -- t'1
RECHECK A' ROVED
, N/A YES NO
FOOTINGS/PIERS /
MONOLITHIC POURNORM
REINFORCEMENT IN LACE ,
THE CONTRACTOR IS ESPONSIBLE
FOR PROVIDING PROTECTION FROM I
FREEZING FOR 48 HOURS FOLLOWI G
THE PLACEMENT OF THECONCRETE.
MATERIALS FOR THIS PURPOSE SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFINGf• r`
BACKFILL APPROVAL
ROUGH PLUMBING 11
PLUMBING VENT/VENTS IN kLACE
PLUMBING UNDER SLAB �'
FRAMING: f
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN ByAM
HEATING ROUGH-IN r`
INSULATION: 1
FOUNDATION WALL INTERIOR R-
FOUNDATION WALL EXTERIORS -
FLOORS r -
WALLS JZ-/H-/ / X
CEILING 3V X.
DUCT WORK OR 'PIPING IN UNHEATED
SPACES
REMARKS:
CIO A13TyLVc-T a J (9,U
ARRIVE 2; ZC
DEPART 230
IN PE OR
TOWN OF QUEENSBUIRY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
UUEEN5BURY, NEW YORK 12804
TELEPHONE 92-5832
0QD00DNG INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
DATE 71 PERMIT f
'
TYPE OF STRUCTURE x '
RECHECK APPRDVED
N/A Y[5 NO
FOOTINGS/PIERS '
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FRO14 /
FREEZING FOR 40 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SlTE
FOUNDATION/WALL POUR �
REINFORCEMENT IN PLACE
F0UNDAT[0N/DAMPROOFlNG
BACKFILL APPROVAL /
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE �
PLUMBING UNDER SLAB
� FRAMING:
Jt
` JACK STUDS/HEADERS "^
BRACING/BRIDGING
JOIST HANGERS �
JACK POSTS/MAIN BEAM �
FlRE3T0PP[NG
WALLS �
CEILING /
FlR[WALL3
HEATING ROUGH-IN
INSULATION: `
FOUNDATION WALLS INT4IOR R-
FUUNDATI0N WALLS EX lOR R-
FLUOR3 R-
WALLS / R-
CElL[NG DUCT WORK WUQK ON PIPIN4 IN UNHEATED
SPACES /
/
REMARKS/ /
/
/
/
/
/
'
�
ARRIVEDEPART
���^_
TO OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 022 9/
NAME -� �e1/' : // ' .,(
LOCATION ,i�, ,,,,, ,
DATE y/07 PERMIT# 9/" of
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS ` /
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION /
AUTO. SPRINKLER SYSTEM o /
ALARM SYSTEM
J
F 1 4
fil
INTERIOR FINISHES /
STORAGE:
CLEARANCE TO SPRINK £tRS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE /
i`
CHIMNEY
WOODSTOVE
,FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT ,
REMARKS:
d e-- z , Ji../24
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