88-564 � I
I S
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 lq 90
This is to certify that work requested to be done as shown by Permit No. 88-564 i
has been completed.
This structure may be occupied as a 2 Bay Carport
Location Lockhart Loop
Owner Lionel Barthold
By Order Town Board
TOWN OF QUEENSBURY
:D/9,6pee
Director of Bldg. & Code Enforcement
14
--• [. BUI=LDING PERMIT __: C [= <,
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:TOWN OF QUEENSBURY ;`:__
88-564
• WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to• Lionel 'Barthold -
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OWNER of property located at ' Lockhart Loop. Street, Road or Ave. I
W
_ in the Town of Queensbury,To Construct or place a - _ 3 Bay Car Port
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
0
Same
• , '2.:CONTRACTOR or BUILDER'S Name ri
- Donahue Builders o
a
3. CONTRACTOR or BUILDER'S Address -
: •
Bolton Landing, •:" _
New York -
4. ARCHITECT'S Name- _ - _ W
o-.
5..ARCHITECT'S Address - ro.
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_ _6.-TYPE of Construction—(Please indicate by X) . _
( )Wood Frame ( I-Masonry ( )Steel ( )' r
W
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7.'PLANS and Specifications • - --
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No. 40' X .22' as per plot ,plan,.specifications and application'
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8. Proposed Use . - - fi. rt
• 3 Bay Car Port mo I .
5.00.C/0
- $ 15..00 PERMIT FEE PAID—THIS'PERMIT EXPIRES • March 1 19 89 , _
(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 17th _ Day of` August " __19 88_
SIGNED BY _ =for the Town of Queensbury
Building and Zon ng Inspector -
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01 Quc�eiiiburi ,. ''':
BUILDING and ZONING DEPARTMENT • . . , . . . • , AUG
. Bay and Haviland,Road, R.D. 1 Box 98 :. �98 I.
Oueensbury, New York 12801 =
' 'PUILBINE -64 CODE DEFT.
Mry Approved by:
APPLICATION FOR //A/ - •
BUILDING :AND. ZONING PERMIT
- * * * .* *J*. : it * * * .it *• it * * * * * it, it * •. * it * * *' *. * * -it it it it, * *:'it
• A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER .ALL-OF THE FOLLOW•I-NG.
. The undersigned hereby applies for a Building Permit to-do the ,following wor-k which will
be done in accordance with, the description,-plans and 'specifications submitted, V and such ` •
special conditions as may be indicated on.the Permit. , • --. . _ .. •• • `
The owner of this, property is: /G) .,_,..0e1 : a,. ,..: 6D1 „
•
P.0: Address 4--0cK hid41Z�, • f---c,Dp . Aid/ee 6,c2 Aiy .. Tel l.'.• '
Property Location:. �oC.10. iG/1 ✓L: e7p Tax Map No. / /
• S_treet number, or building lot number - . V .. . .
Subdivision name.-(if applicable) • V • • ' V' • V V " • ' ..- ' " •
'1'lll: PERSON,f RESPONSI13LL' FOR R PERVISION:OF.WORK AS. REGARDS..BUILDIN .,CODES,—.IS::. . •._ .:
Name .., . . P.O. Address - •Tel:- No.` . ''
Name of. builder-DoNo�Gv-e �t�s Address -219fTa�
' 6 .- , ' ' Tel 6 7" ^ Jt:5-1
Name of plumber '' V Address : - '. Tel. it-,
•
Name of mason r r Address ii Tel•
rr
NATURE OF PROPOSED ,InORK: * - ZONING INFORMATION: .
Construction of'a new building ' .* TWO PLOT PLANS'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 dimensions) :- * whether existing or proposed and indicate,all. ,,
Other work (describe) ' ' " * set-back dimensions„ from property',lines. ..Give,,..,.. ,
*.street and number or lot number. and _indicate :, . . ..
FOR DLMOLI'PION PERMIT, STATE SIZE AND * uration
whether interior or corner, lo.t. Show,:,location.'
• of_ water supply and •location and config • .
LOCATION OF STRUCTURES AFFECTED. * of,septic .disposal.area.
' _
*
* COMPLETE INFORMATION REQUIRED AELOW, •
• * Size of property - '�.-�G' •ft• X /VC) ft.
• ' -* Existing buildings) Size /day ft X �0 ft. ' •
* y931 Lfo - ..
•
PROPOSER BUILD LNG'AND USE: . ", • *-Existing buildings) Use / •
Size- of new icture `y'U ft X �2ft. . * • ' • • • . '
' Foundation pier. ' lab/crawl/partial/full * Proposed building, distance from property line
. (circle one) * • /, .' ft
A. Front yard f Q4 ft Rear yard /00
No. of stories (habitable' space • ® , * Side yards '/p® �'� ft. and . Joe/ /f-- •ft
Sleight (grade to ridge) ft. * If'on corner,-'setback.from side street . ft •
If residential, ' no. of fami ies •
No, of rooms(excluding baths) *. ` OCCUPANCY. INFORMATION _ . - . -
No. of bedrooms -- ' — * PRIMARY •BUILDING -
No. of bathrooms ---
• ;, One family dwelling_• • '• . " • - - 7
Primary heating. sy.atem �' - Two family-'dwelling'-'`•'` ' • •. -• •
Type of'fuel • * — Y
. No, of .fireplaces to ,be installed * —Multiple dwelling / Number of units
* =Permanent occupancy • '
-
Will a wood stove,be installed?. - -t9 , Transient occupancy ' ' '
Central Air conditioning? , • *. •• - • ' • •• - • . • '
* —Business
•BUILDING 'STYLE,' =PRIMARY STRUCTURE ' . ' ' ,.' ,- Industrial •
Ranch Contemporary Log cabin . •• * Other
Raised ranch. Mansion Duplex * If addition, what will use be? .
Split level - :Old •style Bungalow . *
Cape Cod • • Cottage • .• - '* AC ESSORY BUILDING- ' '
Colonial; `': Row • own House' = • .,*• Detached garage/one 'car/ two car/ ' 3 car
• • •'(• CIRCLE. ONE PLEASE ) - ' * --Attached garage/one car/ two car/ car
•
* * * *. *- * * *. *.' * ' * *• * * * * Iv * '---Private storage building - . . . -
ESTIMATED MARKET VALUE OF . * `Other ' -
CONSTRUCTION $ �� '� •
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET,' TO BE COMPLETED!
Form BPA 4/86 and-vl • ' .
: -�° 1'sUILDIIIC PEIQLIT A.t PLIC&.i lOU CONTINUED -
E UILD1NG._SPEC.IFICAT-IONS: ;`5-: ..
Type of construction, wood frame, fire safe,etc. �OE� I ' �t' L-
Will any :"second-hand or ungraded -lumber be used? If so, for what? . /(n
Foundation wall' material ?De)✓t/r4-- Thickness r
Depth of foundation below grade (to bott footing) 1 '
P 9
Will there be a cellar? GC/o Heated o unheated? _ Floor sq. footage ;'3-k' sq ft
Will there be a basement? 4.10 Will an rtion be used as living space? itio -
(If so, what.portion,? sq.ft.. - - Type of use?
Type of roof - /flat/shed/other Material••or roof h/r--/.7 "
Size, wood studs Z "x " spacing_.c. length r" *ft. -
Jousts(floor beaus) 1st. floor "X • " spacing _ "o.c. span' ft. - - :
Joists (floor beams) 2nd.. floor - "x " .spacing "o..c. span ' _ft. :. .
Overlays(ceiling- beams) " t• '
_ Hoof rafters ---"X " spacing o.c. span ft. .. . . .. ..
Roof trusses(pre-engineered) spacing ••2 "o.c'. span /5 ft. - -
._Exterior Wall finish ' 'WM/0� Of what, material? /'//✓"e'
Interior wall finish0 N.
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-raced
door, enclosure, and self-closing device be- provided? .
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade =ft.
Depth .or fireplace hearth —ft. in. ,
Water supply - Municipal or private 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) : ••
• Town of Queensbury - STATE OF NEW YORK • .
County Of Warren :' :. A F F :I D A V I T
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 ton, the described* premises.:and that all
provisions of the BUILDING CODE, '11il ZONING ORDIN and all o ur laws pertaining to.
: ,. •
the proposed work shall be complied with, whethe ape ified .or not,, rid t such work is
authorized' by, the owner. -
SWORN TO BEFORE ME THIS Signature_-
0 er, owner agent,urcnitect,contrector .
day of 1 .
Notary- Public, Warren County, N.Y. - - '
* -*. a '* * a * * *. a a '* a .* * * a •* * * t * * * * * *. t * *- * * * * * It * * * * * * * * * t
SPL'CIAL CONDITIONS. OF TUI-. PERMIT:
•
• . By
�r . .. .
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION (RECEIVED_
NAME , G _ !l�/n�1(1iP g
LOCATION (/ CT
12
DATE I031k� PERMIT # --,3"-
3 ' c'C TO-(-f" /1 APPROVED
YES NO
FOOTING/PIERS /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
-•OUGH PLUMBING / /
F'A 'ING V
ELECT' CAL ROUGH-IN _
INSULAT 0 :
FOUNDATI"
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 17
SIDING
EXTERNAL PORCHES STEPS
STAIRS-CLEARANCD & RAILS
PLUMBING FIXTUR S/RELIEF LVE
INTERIOR TRIM/•RIVACY DOORS
FINISHED FLOOR'.
GARAGE FIREPR••FING
DOOR CLOSERS N.
SMOKE DETECTO S \,
FINAL ELECTRIC L INSPECTION -
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Okt443,11F),r,1 t4.4_
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