1988-548 'L - i {
CERTIFICATE OF OCCUPANCY •
TOWN OF, QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 15 19 88 •
This is to certify that wo!k requested to be done as shown by Permit No. 88-548
has been completed.
This structure may be occupied as a detached one-car garage
Up. -_r Uherman Avenue
Locarion�e1.2)
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Owner Richard « Sandra Baker
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning Inspector
N BUILDING PERMIT
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TOWN OF QUEENSBURY w
No. 88-548
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to
Richard & Sandra Baker
OWNER of property located at Upper Sherman Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a detached one—car 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.
H.
1. OWNER'S Address is
West Fort Ann,
New York 12827
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2. CONTRACTOR or BUILDER'S Name
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0.K.0. Custom HOmes
3. CONTRACTOR or BUILDER'S Address x
9 John Clendon Rd.
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( *Wood Frame ( .) Masonry ( I Steel ( ) co
7. PLANS and Specifications
501 m
No. 14' X 22' as per plot plan (see Permit # 88—fRi) , specifications w
and application.
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8. Proposed Use a
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detached one car garage
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5.00 C/O
$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 89 w
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the pwq
town of Queensbury before the expiration date.) CD
Dated at the Town of Queensbury this 29th Day of July- 19 88
(/SIGNED BY for the Town of Queensbury
Building and Zoning nspector
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BUILDING and ZONING DEPARTMENT �I1 I d
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Bay and Haviland Road, R.D. 1 Box 98 • ��� •
Queensbury, New York 12801 '
>S ... ?11,.:91NG do CODE DEPT.
' Approved b"• • �"�
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\ APPLICATION FOR / / ' ,il,
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BUILDING AND ZONING PERMIT •
* * * * * * * * ;-. * * * .. . * * * * * * * * * * * * * *. * * * * * * * * * * *
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: Rzitygo-i----. 9.v,p,eiite3fiee.32. .7r,'Y9
G(/P.O. Address T`y— / Oje j A01 . N� Tel. 7 fnZ-&.&j3
Property Location: IlQQep S,} /trezi E Tax Map No./.21/
Street number or building lot number
Subdivision name (if applicable)
TILE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No. •
Name of buildel4jelP.disreittyaim-tAddressro-frhudigzbow 4 Tel. -7�y Z -2-4 3 a
Name of plumber Addressif . Tel. . f
Name of mason iftE W Address v Tel. f
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of anew 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 DEMOLITION PERMIT, STATE SIZE AND • * whether interior or corner lot. Show location .
LOCATION OF STRUCTURES AFF•
ECTED. of water supply and location and configuration
*-of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED Z BELOW.
* Size of property ic ft x9l ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: *'Existing building (s) Use •
Size of new structure /Lf f t X zZ ft . *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard 7 Z ft Rear yard 3 ga ft
No, of stories (habitable space) * Side yards ' bp ft and 70 ft •
Height (grade to ridge) �f� ft. If on corner, setback from side street ft
If residential, no. of families ----- *
No. of rooms(excluding baths) * • OCCUPANCY INFORMATION
No. of bedrooms - . *
No. of bathrooms
� * PRIMARY BUILDING - •
Primary heating system * One family dwelling
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* Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No. of fireplaces to be installed •=�
Will a wood stove be installed? - > * Permanent occupancy
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Transient occupancy . •
Central Air conditioning? * Business
.
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
*- Other '
Ranch Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottage Other. • * ACCESSORY BUILDING-
Colonial . -' . Row Town House * LDetached garage caE2)two car/ car,
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF . * Other .
CONSTRUCTION $ Z teeL Do i/`, -(- /A
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
Se-e Gr7- --z-d /70 d%1 F‘s) •3 0
88
fsUILDIfIG PERMIT APPLICATION CONTINUED .. .. 3 a
. . .
BUILDING SPECIFICATIONS:
Type of construction od frame fire'.safe,etc.
Will any. second-hand -or ungraded lumber be used? If so, for what? /e4
J Foundation wall'material it: D . t, e• Thickness, 1` L1J///p Nibemitiae
Depth of foundation below grade (to bottom of footing) . •
Will there be •a 'cellar? ` HeaLed or-unheated?. - Floor sq. footage IP — sq ft,
Will there'be a basement? --Will 'any portion be used as living space? -----
(If so, what po ' ------s-q.ft. - - Type.of use?
Type of roof sloped flat/shed/other ' Material.•of roof 5b'7A/41.. '
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Size, wood' stu•s7, "X " spacing / "o.c. length 9V ft. ,
Joists(floor beau); 1st. floor "X spacing "o.c. span ft. y
Joists (floor beams): 2nd. floor "- cing . "o.c. span ft..
Overlays(ceiling beams Z. "X . • " s acing �r "o.c. span // ft. • • .. „ - -
Roof rafters 2. "X " 'spacing ' 'o..c..- span 7 ft.- .
Roof trusse.s,lpre-engineered) spacing "o.c. 'span - `.ft. -- - _ , .. - - .
Lxterior _wall' finish Of what material? ° '
Interior wall finish
If a garage is to be .attached, describe materials to be used for FIRE.SEPARA'TION: '
Is there to be,, an opening between garage and dwelling? ---71f 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 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 - 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 "WILDING 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 TfIIE SignatureX. ....Z‘M. wneer's agent,ar it c ,con ractor -
day. of 19 c
�G%�2�e��T
Notary Public,-'Warren County, N.Y. .
* * * * *, .* .* * -*.. *..* * 'A '* '* *' '* *' * * * * * * * * * * .* * * * * * * * * * * * *, * * * ,* * ,
SPECIAL CONDITIONS OF, TilE PERMIT:_. . . ,
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By
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INTERIM ' BUILDING PERMIT
PERMIT APPLICANTR,/�e,�`
CONSTRUCTION LOCATION Ly e&
EFFECTIVE DATE • y/a7
APPROVED BY, �2% t 1�C�4J `� .
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During 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 CO SPIC•' S LOC TION ! !
Building & ' Codes Department
TOWN OF QUEENSBURY
: i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
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REQUEST FOR INSPECTION RECEIVED - }SS
NAME ^ _ `- k �.�- 1�
LOCATION p�3yp ^ �=y.L ;rC , ,
DATE 1� _ PERMIT # (3-3 "'.SLk'J
/ APPROVED
C-6...3a;Qua L Oft\-.Z.,-- C..=0 '1 1 YES NO
FOOTING/PIERS;. J',
MONOLITHIC POUR\FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL``&,
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS '1
CEILING
YfINAL INSPECTION: I
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 ]
��"11'lVAL ELECTRICAL INSPECTION
FINAL APPROVAL QF CONSTRUCTION '
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A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
IHESE PREMISES ARE OCCUPIED!
R"vARKS:
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INSP TOR
awn of Queeniturcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
e.------ .
BUILDING INSPECTOR ' S REPORT
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NAME 1:4,chai delve) ' -
GILL
LOCATION AZ.a�w/c
Date - ( / Permit No. 0 Y
* * * * * * * * * * * * * * * * * * * * * * *
✓ — APPRO D r KES / NO iFooting/Pier Forms(54f4,r- ` lc . i
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Foundation ,/
Waterproofing /
Backfill I
Framing
Roofing
Siding •
Masonry Veneer //
Rough Plumbin•
Relief Valves
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Ext. Porches .
Finished Floors •
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing .
Door Closers .
Smoke Detectors
Chimney .
INSULATION: '
Foundation
Floors '
Walls
Ceiling
FINAL ELECTRICAL :NSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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Building Inspector
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