1988-540 t �
CERTIFICATE' OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW PORK
Date February 13 19�+0
ar,c) \C\
This is to certify that work requested to be done as shown by Permit No. 88-540
has been completed.
This structure may be occupied as a One FAmily Dwelling — Additinn of porch
19 Pinewood Ave.
Location
Owner Malcolm J. Bolton
By Order Town Board
TOWN OF QUEENSBURY
1 per_
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-540
WARREN COUNTY, NEW YORK00
PERMISSION is hereby granted to Malcolm J. Bolton
rn
OWNER of property located at _ 19 Pinewood Ave. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition — porch
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
Same o
2. CONTRACTOR or BUILDER'S Name
SAme 0
H
_ r+
0
0
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
N
b
H
CD
5. ARCHITECT'S Address
0
ro
6. TYPE of Construction—(Please indicate by X) •
(x)Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12' X 14' as per plot plan, drawings and application
0
0
8. Proposed Use
ADdition to dwelling of porch
id
5.00 C/O
$ 10.00 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 Queensbury this 25th pay of July 19 88
SIGNED BY �C l for the Town of Queensbury.
Building an Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
•
�f / Application No.
_ wn of Queenil ur y . Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TC'':.; j 07 n, �E7___. _.__.
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Ll ,
Queensbur , New York 12801 Variance No. L v ' : •+)
1 - g Site Plan Review No. JUL 20 I
\ - Approved (�
l BUILDING et'.'..CODE JP .
APPLICATION FOR k__ //4,-/f,
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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: ,/ 1l� Cj/>1 - .. �,._71/'/0/)f // -./�� 7 /Y'
P.O. Address / .J /4f}/'t2J� /�/.�; ( /r / Tel. j'� �/O
Property Location: /? 7 V )c r 'b /�714 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:
/ 7/:-Go%/►'I 1 -5i/.T ,/ /9 M/✓E 2AJ��. .%7 ilk` 77- ey J7;�
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 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 / ,D ft X 157 ft.
* Existing building(s) Size ft X . ft.
• *
PROPOSED BUILDING AND USE: * Existing building(s) Use 7Ei 1/ f.L E
Size of new structure f ft X/'ft *
FO'undation-pier slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *• Front yard ft Rear yard ft
No. of stories (habitable space) il * Side yards ft and ft
Height (grade to ridge) /:„.,, , a�"ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY. INFORMATION
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms *' X One family dwelling
Primary heating system Ale,1 .. Two family dwelling
*
Type of fuel
* Multiple dwelling / Number of units
No. of fireplaces to be installedX0/C %, Permanent occupancy
Will a wood stove be installed? /V 0 * /� Transient occupancy
Central Air conditioning? /)/0 *
* IIusiness .
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
* Other
Ranch Contemporary Log cabin * If addition, what will use be? %�e�Jj�-
Raised ranch Mansion 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 *
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. L(, O J ,:b 1- %?/"7jV. "" •
Will any second-hand or ungraded lumber be used? If so, for what? Alb.'
Foundation wall material 'i.O -,1i -- 4/ Thickness •
Depth of foundation below grade (to bott�o at_Footing) 77j "/-7� - _6"' I
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? / 0
(If so, what portion? sq.ft. - - Type of use?
Type of roof -',1, .at/shed/other • Material. of r of/q.57/ 7&j 5f/j/Yc -l- (
_
Size, wood studs "X . J "" spacing_ o.c. length ft.
l)"
Joists(floor beams) 1st. floor d2 "X ." spacing / , "o.c. span /3 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams)..2 "X r" " spacing /e "o.c. span /qft. .
Roof rafters „,<`7 "X e " spacing / o.c. span g' ft.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish �°�- �-/� � /?j? Of what material? r//'
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?
Will a flue-lined chimney be installed? j'YO Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well Ner-'j//^
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties/ Ae:r ft.
(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 Lon 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 J fC-- -_.%7-`'`e� _-_,4 =-,-:__°
Owner, owner's agent,arcnitect,contractor .
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR �INSSPECTION RECEIVED
NAME 171G!/.--r-i-6i1
LOCATION A? 47,71.142,9,t- a/)...e_
DATE 9-/cg yg-C7 PERMIT # ?F c S7 D
F1,44
APPROVED
Gti�� /''�/ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING!
FRAMING
ELECTRICAL ROUGH-IN •
INSULATION: r
FOUNDATION ` •
FLOORS \
WALLS
CEILING
L,F1NAL INSPECTION: \
CHIMNEY HEIGHT ,,
ROOFING
SIDING \ /
EXTERNAL PORCHES/STEPS 77
STAIRS-CLEARANCE &/RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PR1VACY%\DOORS fj AZ ,
FINISHED FLOORS. ! v
y _
GARAGE FIREPROOFING \ Aj vn
DOOR CLOSER(S)Ada
SMOKE DETECTORS .
FINAL ELECTRICAL INSPECTION i
FINAL APPROVAL/OF CONSTRUCTION (X
4 1, ✓ �
I
1 '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROMi�THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
'71
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED k cNRl D-' 8
E NAM — -"--- -- 11
LOCATION\\ _
DATE PERMIT # (PS - S
AP,PROVED
YES NO
FOOTING/
MONOLITHI
FOUNDATIO `
BACKFILL 1 \14 Q-SU —.%
UGH PLU
FRAMING
ELECTRICA - B I
INSULATIC
FOUNDA?
FLOORS' V-% -ItC7
WALLS
CEILING
FINAL IN.
CHIMNE7
ROOFIN(
_
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING \
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
117/14/
5�f pi7/ GUZ t,d/
INSPECTOR
Jown o/ Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
7
BUILDING INSPECTOR' S REPORT
NAME jar IC ?L
LOCATION /9 4e,e(A2,0141-e...-
L
Date 7/ /�,/h Per t No. 6F-f- 0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE§ / NO
ooting/Pier Forms is
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding _—i
Masonry Veneer .. '-
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof in.
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION ,
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
f9 /C a iii/21r
/ /
1 '
1 i/I/
Building ; spector
6/86 and-vl .
//o )4i/ 04/
•
•
•
. •
• /moo�✓ gn�z�, TiD..
•
l� 1-7 . . ]
•
•
•
• ti
.
. . .
•
. . . . . . . .
_.. . • , ••
. .
. . .
. . . .. . • ; • .. :
._. .
FILE COPY
• . .
/` X /-?/./.
• . /<,9/?.I
d,f
/rc
1-.0 c 1 S47.
i
• ZOr.;G& BLDG C ES DEPT.
.. TOWN.CF QUEENSBURY •
•
ER
r;,c)P G.r's�"z>.
•
• •
,
•
•
•
\ .
' i . : .
•
l�Fi'/G/_/}/
.
•
ti ----- -- - . -....1
f /'4/ '. �_ .
•
. �S/ Dom$
•
•
/ 7 i . •
, I i j . I
/3
•
•
•
:
t •
/
. - 35- . -. . .. - '.57 ' . . . -
:. P:°vrcd .. -
_ /I Db.S . - - - . . . . . . .
. .57-o/^! Lcl aoD ,
1 . rR/q/Y74- /9 0J-/..0 i
^�. eiL� - - -/9 . / �EUJdoi ,2?V .
/3 :
Epp
Q
---•------- - -. ._ - - QNINGg.BLD_ / .ESDET
TOWN GEC 1EENuBI�f�\I
. i
6•,/_,.....i.-__- - .2I, . .. ., ... , . , .
• •
•
J t