1989-146 +CERTIFICAT,dd OF +COMPLIANCE
-�
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ASgust 28 19 90
is to certify that work requested to be done as shown by Permit No.
�s:
This fy 4
has been completed.
This structure � �y be occupied as a
LcMcation 1� -
Owner V`1 C 'i CJ Z 1 x C3i i l i
BY Order Town Board
TOWN C)F QUEENSBURY
FF
f
Director of Bldg;. do Code Enforcement
BUILDING PERMIT
old
TOWN OF QUEENSBURY No. . sz
WARREN COUNTY, NEW YORK
0
1
PERMISSION is hereby granted to Victor Thomas , k
k
OWNER of property located at Country Club Road Street, Road or Ave. �~a
in the Town of Queertsbury, To Construct or place a Alterations To 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.
1 . OWNER'S Address is x
C7
,'S' ame �'
En
2. CONTRACTOR or 13U1 LDE R S Name C
Fi
Self o
[4.
CONTRACTOR or BUILDER'S Address
Same
ARCHITECT'S Name
r;
C
C
F7
5, ARCHITECT'S Address
C
t
c
C
6. TYPE of Construction — (Please indicate by X)
M
l y Wood Frame i t Masonry I l Steel I )
a
C
7. PLANS and Sp
x e} 6 alterations to buildin ( deck ) as per plot plan ,
r g
N'o licationw
specifications , anc3 aPP
B.
Proposed Use It t
t
Deck
i
10 . 00c/c November 1 19 89
$ PER FEE PAID - THIS PERMIT EXPIRES
(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.)
_Day of A ril 79 89
Dated at the Town of Queenslaury this — ti 'h Y —
SIGNED BY for the Town of Queensbury
Building and Zoning Inspect r
'I'C L17N OF QUEENSBL]RY APPLICATTON FOR BUIL0TMc ANTI ZCININC PERMIT
Put TO.VIN UE OUEENSBURY
' ec %e+✓ ed gFCE[VED
Reu.zewed
% . --- p APR Iti J989
Fee Pa td j BLDG. & CODE DEPT,
W I Ll3I NG AND CUBES Ul :l'ARR 4F.l"Ff Date 7e5.6 aed
DAY and IIAVILAnD ROADS RD 2 Dax 93
pUES1US13U,R'Y0NR[V Y0jZK 12804 PeAffl t Na .
Tel , ( 538 ) 792-5832 Ext 204
# C w M # # . #' N K Y # .1 ik Y 1" M ■ # i # x . R . .i . • i
A 11E- 101IT MUST B14 p131'AIPaI D nE- 1� 0RE EECINHINC, CONSTRUCTIOIi . NO INSI'1 C'fiQNS
WILL BL MADE UNTIL APPLICANT HAS RECEIVED A VALID BVILDINC PERMIT .
All aPPl icable spaces on this application inust be collipleted and the
* •; po rurc ❑ f * t * c * app * IA :IAt * [!tkSrk } li* caI * o * he e ,VicCircS * * 1 *c * Dx h s * SI* c * t
'1` !le owner of this property is :
TEL .
P , O , Address �^� -
[' ropertY location CCU �-� u TAX MAP Na .
teas there been any split oXI this property since October 14 1984 ? /= !•-
yes rto
if yes , Planning Board Review is necessary . LOT NO .
; t] l3pIVISTON [1AMr , IF APPLICABLE
The person responsible for supervision of work as regards Building Cedes
P . O . ADDRESS / J A 1 ` el NQ .
[name of builder i P Address C !
l.ddress Tel
Numc: of Plulnbar Tel
Name of Mwson Acldress
r�,LTURk t]r i'(:L]f OSI D WJI:h: : r Z0NING iNl�ORHATIC N ( otfs ce use on1 u)
C:nnstrUCCior" of a t� �r+ buil4inc]
r LC]NING DESIGNATION OF PROPERTY
^ACtatiCion to :1 buil .liltg r PERMITTED PRINCIPAL PERMITTED ACCESSORY.
:)EAlt.: r:.tion Ca is l:uilding aw REVIEW REQUIRED - PLANNING BOARD 7,0NING BOARD.
( Ito CIJ.:rnt]� to k:xt .srior clitftari:: l.On:al .. rsnn� r �n namF
oclrat work (a3scriU�:l - SITE: 131.AN iti VaLri ii 1P. • --�
r VARIANCE it APPROVED HATE
C:. ltOSS AItLA 4l' 1' StC1P �GC1. :: '1' ftUC"C' U [tG
lst Floor
sq f t . � Remarks
? nd f•1 ao r „{,,, '�-'")("'J Sq f C . w GC11•tP1..L`l'l: , l,Nl'CS1+:�M'L'iOl�k itl:r2uYltl�D 1sLLUL1 .
of prolxa: rty� tt X Ft .
Other Floors sq Lxi�Ciitcj lauil.li� 4•] ( :: l 5i:4a Ct: X rc .
{ not cellar or as, eme� r
TOTAL FLOOR A Eli s ft • ' L:xi::tincj tDuilaLruj ( . ) uz*L:
tie new ::tru � ft x�ft
1'tsw+d:. tion-pier/ slat/crawl/parci:al/ Cull "' YCalso:.:eci l']uiiclinr; , di::t:►ncc trout L.rol+erCy .Line
(circl` Olt= ) Front yard fc Rear y:ai^d — ft
Na . of ::.conies {t".itabla :13acel r Si.da y:ardu rC and Lt
iwighc (grade to ridcle ) €_ • If on cc+rner , suCbaCk froin side: scruc:C rF
if rasiduntial , no. of fatniliea OCCUPANCY 1NFOWkIATICN
toon of rootns ( excluding t):,chs1 _
r
tto* of bodrooma r PRI4ARY DUILDING wo
No . of b:atltroonts �Dno fasttily dwelling
Priutary ltuacittrj sy:;k:�,[4 # Two family 4dw4lliAU
'ryjau Of fu.: l ttulCiy�l. .iwc:11tng / HUIr4bcr of units_
No . of firuplac4.::: Ctl ba lnstall¢d ' 111annanont occupancy
Will a wouJ ::Love: kru Ln � tallud? �` '1`x:snsi ur,e coccup:ar#t y
I:uncrul Air QQ'& t1UiNn' 9 r
l3usinuss
BUILDING STYL.C, pRll`1ARY STRUCTURE Indusl:rial
,� ocTtar
1c:+:tch �[.r"ry "qa cauin It .addisiun . wkk"r. will u::c pa7
ra"clt Mai :4"
]l�liC levwl d :acyl.a tluttrj.alow
C.;4,t..4j Cod Co Lc ac]a Or. Ist.:r ACCESSORY UUILDItic"'
Car
Colonial ROW "Powrt Clouse '" Lrrscachau cjaruc2o/ono star/ two aar/ euc'
[ CIRCLI4 ON12 PLEASE 1 !►Cta:.hurJ cj:.rttcju/Gil{t car/ tn,ro car/w
r ■ r # # a s • . . r a s w a zr R �' lir.ivzato storµge building
L ``iY' iMA't` l: [7 MAR?. rlr VA�.9y1IA�1JE OF ' ��'Ochar
kW
CQIN :+'P1ti,lC7` IUN � Vl/ � rV'�./
iN[`OftPtAT?17N Ck! t3UILCSING SPRCIL' SCATTCNS . ON V VERSE: SIDE OF TlilS CHECTs TO BE COMAL>~TUDt
Form DPP 20/'88 v2
%%. �
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS : /�
Type of construction , wood frame , fire safe , etc . l c �?.y�Z
Will any second-hand or ungraded lumber be used? If so , for what. ? .409J�
Foundation wall material Al if
Thickness
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? Will any portion be used as living space ? __��_�__._
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/, /other - Material of roof
Size , wood studs "` x IN
SparwIrIg "o . c . length ft .
Joists ( floor beams ) lst . floor c "X " spacinq 'o . c . spanft .
Joists ( floor beams } 2nd . floor - NIX " spacing - "o . c . span ft .
Overlay beams ) "X `„ spacing /4�s `"o . c . span _ft .
Roof rafters " x " spacing � o . c . span
Roof trusses (pre-engineered) spacing _ _ "o , c . spark--_._-.-fit .
Exterior wall finish Of what material ?
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 shelf-closing device be provided?
Will a flue-lined chimney be installed? _ --- Height above roof f t
Depth of chimney foundation below grade ` --- -.._-
Depth of fireplace hearth --£t . ] n _
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well { including adjoining properties
(A separate application is necessary for any repair or new installation of septic system )
DECLARATION
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 BUILDING CODE, THE ZONING ORDINANCE , and all
p1hnr ?� ^ Yi:i•.`,�: iirj Nt: E;-"c p;'K.rE.ro� d worx silail be complied with, whether specified
or not , and t.; ; 'It such work is authorized by the owner.
Signature
Owner, owner's agent, architect, contractor W
SPECIAL CONDITIONS OF THE PERMIT :
By
i
T
TOWN OF UEENSBURY
BUILDING A CODES DEPARTMENT
BAY & HA V D ROADS
QUEENSBUR NEW YORK 12609-
TELEPHONE (518) 792-5832
ILDING INSPECTOR' S REPOR
& & _ �! 7
REQUEST FO INSPECTION RECEIVED
NAME
LOCATIC �
DATE PERMIT # -
p+ APPROVED
[l .� f YES NO
FOOTING/PIE
MONOLITHIC PO R FORMS
FOUNDATION/D -PROOFING,
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ PS
STAZ'RS-CLEARANCE & ILS
PLUMBING FIXTURES/ LIEF 'VALVE
INTERIOR TRIM/PRIV Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFI G T
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL SPECT ON
_ FINAL APPROVAL OFrc/c
ONSTR TION
OK TO ISSUE iC/ o
A SIGNED CERTIFI ATE OF OC UPANCY MUST BE
OBTAINED FROM TH BUILDING EPARTMENT BEFORE
THESE' PREMISES RE OCCUPIED
REMARKS
INSPECTOR 44
i .ak: e George , New York: 1284,15
January 25 , 1990
Mr . Mart i, n , Lode Enf ora:. e:ment Cif f :i cer
"town of CK.teensbury Building Department
Day at Hava l and Road
Queensbury , New York; 12804
Dear Mr . Martin
This letter is in reference to tine building permit
issued by your office to Victor- G . Thamas , Country Club
Road , in 19F39 . As directed by you , the hinge assembly + or
the moveable stairs between the first and second f 1 oor
porches was inspected . The materials used have been found to
be more than suf f i ci ant to meet the design requirements .
Yours truly ,
Freder i c: 4¢ R . DeHoney
!_ icensed Professional Engineer
Number 059436
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