1988-525 fvl '
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
6\1'(Of q - -L4 a_
This is to certify that work requested to be done as shown by Permit No. 88-525
has been completed.
Storage Building
This structure may be occupied as a
Location 29 Twicwood Lane
Derek Richardson
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-525
WARREN COUNTY, NEW YORKoo
°
rn
PERMISSION is hereby granted to Derek Richardson
In
OWNER of property located at 29 Twicwood Lane Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Building
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.
CD
1. OWNER'S Address is
Same
ti.
C)
w
2. CONTRACTOR or BUILDER'S Name
Peter Havens
3. CONTRACTOR or BUILDER'S Address
14 Seward St.
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
O
IZ
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5. ARCHITECT'S Address CI)
6. TYPE of Construction—(Please indicate by X)
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O
h
)Wood Frame ( ) Masonry ( )Steel ( )
CI)
by
7. PLANS and Specifications (Area Variance # 1365)
ti
No. 10' X 12' as per plot plan, drawings and application
8. Proposed Use
Storage Building
5.00 C/O
5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 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 Queensb his 19th Day of July 19 88
SIGNED BY ✓ r for the Town of Queensbury
Building a d Z g Inspector
_*- --- TO BE COMPLETED BY BLDG. DEPT. . OF QUEF:'';`3 L. .
Cc�� // Application No. U ci i j',If '_t, e ; 1
_town ut Queenibur� lJ '`' �rJ
Permit Issued 19 r,
BUILDING and ZONING DEPARTMENT Permit Expires 19 U u � � 16���
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation SF/L ` 5d
•Queensbury, New York 12801 Variance No. 42,2e4.,- !36. WILDING & CODE DEPT.
Site Plan Revi w
Q
�u�a Approved .by: 07,
APPLICATION FOR
BUILDING AND .ZONING PERMIT
* * * * * * * * * * * is * * * * * * * * * * * * * * * it.. * * * * * •* * * * * ::•*
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.
The owner of this property is: -E) Wi< ICN,1(2PS'bA) /
P.O. Address 29 1vd)GwwoD LANE - CoL•ENS E1a1,�-P Tel. -1(13-73gc)
Property Location: sAM E • Tax Map No. / /
Street number or building lot number ,
•
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Pero. VI riVgS H Sew,igo S72Ler - GLe.r 'rAi-L-s, A) 4. y 9 z-
Name
P.O. Address Tel. No.
Name of builder Ar�oVK J Address Tel.
Name of plumbe"r Address Tel.
Name of mason Address Tel.
NAT�RE OF PROPOSED WORK: * ZONING INFORMATION:
1/ 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 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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of- water supply and location and configuration►
-LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property I CO ft X 24Q ft.
* Existing building(s) Size 27 ft X .63 - ft.
. * .
PROPOSED BUILDING AND USE: * Existing building(s) Use 12ES10'ENGg
Size of new structure • VC) ft X a- ft *
•
Foundation-pier linl/crawl/partial/full * Proposed building, distance from property line .
(circle one) * Front yard 'I(02 ft Rear yard 20 ft
No. of stories (habitable space) � . Side yards ' 1 4 ft and Li ft
*
Height (grade to ridge) {g ft. * If on corner, setback from side 'street ft
If residential,. no. of families t' 1 OCCUPANCY INFORMATION
No. of rooms(excluding baths) { • ,
•
No. of bedrooms *
• PRIMARY BUILDING -
No. of bathrooms One family dwelling
Primary heating system NONE *• ---Two family dwelling
Type of fuel Multiple dwelling / Number of units
No. of fireplaces to be installed * Permanent occupancy
N
Will a wood stove be installed? APB * Transient occupancy
Central Air conditioning? Business
* ,
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
* Other
Ranch Contemporary Log cabin * If addition, what will use be? '
Raised ranch M • ' Duplex -
Split level Old style Bungalow . *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ two car
car
( CIRCLE•' ONE PLEASE )
* Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * ><Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
$ 2ot?C;)
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED.- . .
BUILDING SPECIFICATIONS: ..
Type of construction, wood frame, fire safe,etc. ' LJO OO cRAM-
Will any second-hand or ungraded lumber be used? If so, for what? PJO •
Foundation wall material GarxEE1e S LAS Thickness WI
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? Nh4 Will any portion be used as living space?
(If so, what pori-en sq.ft. - - Type of use?
Type of roof - eloped)flat/shed/other Material• of roof '2. S II ASOifit-r
Size, wood studs 2 "X 14 " spacing qv "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 2 "X q " spacing liv o.c. span g ft. ' .
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish j7,yv)Oo9 . Of what material? Sis" T 11l
Interior wall finish OWE
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: .
i4sw . . .
Is there to be an opening between garage and dwelling? z.: . If so will a Fire-rated
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 of 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 . . . .
A F F I D A V I T
County of Warren STATE OF NEW YORK
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 donelon the described premises and that all
provisions of the BUILDINQ 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. �P�,�
SWORN TO BEFORE ME THIS. Signature_Yji5LL; .�G�I'/:,V „'`1
errs a ent arch tect
• Owner, own contractor . .g , � ,
day of 19
Notary Public, Warren County, N.Y. • . '
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By .
, .
INTERIM BUILDING PERMIT
---FILE COPY
COPY
PERMIT APPLICANT Wi' _i -O-7--, — ' •
CONSTRUCTION LOCATION (-,79 Z:,/- /e,o ." . • Z-N. A.
EFFECTIVE DATE . /7 TZ/r_y . .
APPROVED BY ./ y . * '
SPECIAL CONDITIONS : • .
• • •
• ' ' • . '
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
Dur.ing 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 C SP ATION ! !
Building Codes Department
TOWN OF QUEENSBURY •
- -
•
1 .
•
t���;:1 MIDDLE DEPARTMENT.INSPECTION AGENCY, INC.
,i National Headquarters
—"' 900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date: -ill E I a
City, Town.or Township Q1/4F£ENS'Su2y — GLCNS FAILS' County WpRReN State NY
Location/Address 2R ---iWic&000 LANE .
(If Located in Rural Area - Please Attach Directions) • Pole #
Owner VEg.EK ✓eICNAR.DS'oN • Permit #
Occupied As ( 101)( 12.1 3 Torii:14.E Qwc.Dii G'
Building: NewiN Old El
Occupant
Work Area in Building (Floor #,etc.): IST
App. for: Wiring Service Ti or: Ready for Inspection:
Fee Remitted-$ Cash n Check TI M.O. Ti Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches I •
Lighting 2 Amp. Service Surface Unit Dishwasher Range
Receptacles I Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's l J. i /tea
Signature t/ License # Permit #
T/A Utility: N I— MO - (D.F. -
Applicant's Address: I SE •.;144 0 P7 (NAME) (OFFICE LOCATION)
(City) G'L. Ji ' FAu,s (State) Ny 12So/
Phone # 5't8') 79 Z^—i.`/A3 (Zip) Service Request #
Electrician: NBovJE
. MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above(I or:
Red Notice Label ri
Rough Wiring Outlets Surface Unit Oven
Switches Range • Garbage Disposal
Receptacles Water Heater • Dishwasher.
Fixtures Air Conditioner • Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle--
Amp. Service Conductors Pump • Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 742 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
ect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Patrick J Dashnau
—
--- Y - .;�.. PO Box 321
Hudson Falls, NY 12839
518/798-3473
— Niilliiiiiiigiig ELECTRICAL IISPECTOR
CORRECT•LtRTIFICATIONS USE FOR INITIAL VISIT ONLY. ': NOTIFIED DATE FEE PAID I. -
. . . - .. .. FEE
❑ RW . Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. n CASH El
L/A - Owner
n" L/A Fee CHK #
Due
1-1IPA Municipal MO #
•
INV #
Date: - Other Side ElUtilit Applicant ❑
Utility Owner ❑
Cut in Card. n Temp # . Date
I I Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
Jown of Queenalury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAME
LOCATION ,:;179 _ D ^
Date �^/A""" Permit No. Rf--J cam "
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation ,) 2A—j
Waterproofing
Backfill
Framing V
Roofing
Siding •
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floor.
Interior Trim
Stairs & Railinus
Cellar Drain Til-
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation •
Floors
Walls
Ceiling ,/"
FINAL ELECTRICAL INSPECTION_ V
DRIVEWAY APPROVA
Final Building rvey
Next scheduled inspection (call whe ready)
Remar . • -
( t ; 7c7_14_
4,240,-/4 (A/1
. if
Building Ins• •
6/86 and-vl
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