1988-665 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 28 l9 30
36i 4/ 0--H
This is to certiiffyy, that work requested to be done as shown by Permit No. 88-665
has been completed.
This structure ay be occupied as a Storage Bldo
location Fflivion
Owner ?limey Tucker
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
, BUILDING PERMIT
TOWN OF QUEENSBURY. 4
No. . 88-665
WARREN COUNTY, NEW YORK
`O
PERMISSION is hereby granted to PlinPy Tucker
OWNER of property located at Division Bd Street,Road or Ave.
ca
in the Town of Queensbury,To Construct or place a Storage Bldg- o
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
Box 425 RD #4 b
Division Rd. 5'
Glens Falls, N.Y. 12801 �c
2. CONTRACTOR or BUILDER'S Name �]
G
n
Same
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 24' x 24' as per plot plan, specifications and application ti
8. Proposed Use aq
Storage Bldg. td
a
$5.00 C/O .
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 19 •
9
(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 12th Day of Sept. 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
3 i I? :- r"
�] Application No. • �- Lb
_lawn a/ Queen:skirt' . Permit Issued 19 + j� '
BUILDING and ZONING DEPARTMENT Permit Expires 19 SEP £ 1S 83 ,Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Dueensbury, New York 12801 Variance No. BUILDI10& CODE DEPT.
a.0 • Site Plan Review No. hO
(� , APProv��• by
iq / APPLICATION FOR •
•
•
BUILDING AND 7.0NING PERMIT
-* * * * * * * * -* * * * * . * # * * # * * * * at * * of * * * * * * * * * -* * # ::.
•
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: / i/Ac.� e�- /'g,„--,. f�w-"r/
P.O. Address Ro)C 2 c ?I L) r4-4, pi t-4., ,eal a, Tel. ? ,,3 `,,e ms/
Property Location: _S-,¢ A-1,7 id, /44- .. h 0 .-e Tax Map No./'/7/ / /_
Street number or building lot number 77
Subdivision name (if applicable) '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O..'_Address Tel. No.
Name of builder p//,u Y 2 G re V 42 P.v,424/.l 1/-� 1. a9 G,/ 7 /
Name of plumber ,{>/ z_ Address Tel.
Name of mason .5 J vfrpF,.c ,VAA09,xPe Tel.
•
NATURE OF PROPOSED WORK: * 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 DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
* of septic disposal area.
* .
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE:
*Existing buildings) Use
Size of new structufe ,?/( ft X rtt *
Foundation-pier/sla /crawl/partial/full * Proposed building, distance from property line
circle one) *
* Front yard • ft Rear yard ft
No. of stories (habitable space) Side yards ft and ft
Height (grade: to ridge) w *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 .
Primary heating system * One family dwelling
Type of fuel .•* Two family dwelling
No. of fireplaces to be installed * Multiple dwelling ./ Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
. * Business • . ;
BUILDING .STYLE, PRIMARY STRUCTURE *' Industrial .
Ranch
` Contemporary Log cabin *
Other ' j'// k. ,i�_
?
Raised ranch Mansion Duplex * If addition, what will use be.
Split level , Old style Bungalow *
Cape Cod . Cottage Othe * 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 $- L �� �UU *
_ s v
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. Ce,
Will any second-hand or ungraded lumber be used? If so, for what? /mod
Foundation wall material /(2// Thickness
Depth of foundation below grade (to bottom of footing) /,• -
Will there be a cellar? , D Heated or unheated? 4,12 Floor sq. footage -76 sq ft .
Will there be a basement? /,/,) Will any portion be used as living space? /C9
(If so, what portipi _ r sq.ft. - - Type of use?
• Type of roof - sloped/flat%shed/other _ Material,-of roof
•
Size, wood studs 2 _"X 1/ " spacing ,7 "o.c. length Q' 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 "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing 2 "o.c. span 241 ft. .
Exterior wall finish 12/xu# s,,('/ /, Of what material? P / '/ / e—
Interior wall finish A} f i9=
If a garage is to be atta6hed, 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? ft.
Will a flue-lined chimney be installed? _ - Height above roof
Depth of chimney foundation below grade ft. p �
Depth of fireplace hearth n. V ft. i . •
Water supply - Municipal or private well ft.
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties
(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 donelon 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 --�_ -. ����"-
• Own r, owner's a -nt,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * *. * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
INTERIM BUILDING PERMIT
. - Cis
PERMIT APPLICANT -P/h6,� /e.rK e,
CONSTRUCTION LOCATION c 1w,3- S,L
EFFECTIVE DATE V‘ .
APPROVED BY z(2 ,Ac„..„..., ,e,„ / .
7
SPECIAL CONDITIONS:
aq'k..zv e,fr
7
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 PI ION ! !
•
Bui ding & Codes Department
TOWN OF QUEENSBURY
ri QUEENSBURY
iNG AND CODES DEPARTMENT
& HAVILAND ROADS
QUEENSBURY, N,W YORK 12804
TELEPHONE (5,8) 792-5832
BUI LING INSPECTOR'S " PORT •
REQUEST FOR INSPECTION RECEIVED
NAME l�'�.� 1.�LLi/`
LOCATION , � � A&ifs.'t,op.
DATE /L'1 06 PERMIT
/ PROVED
, /7)1,6 . 8 tar_ YES NO
FOOTING/PIERS_ 9,L I
MONOLITHIC POUR ORMS
FOUNDATION/DAMP-'ROOFING I.
BACKFILL APPROVAI •
ROUGH PLUMBING `
FRAMING 6
ELECTRICAL ROUGH- i
INSULATION: !
FOUNDATION I
FLOORS I 1 •
WALLS i
CEILING 1
FINAL INSPECTION: J
CHIMNEY HEIGHT
ROOFING ✓/
SIDING
EXTERNAL PORCHES/S P.LL
STAIRS-CLEARANCE & "t[LS
PLUMBING FIXTURES/R..dIEF VALVE
INTERIOR TRIM/PRIVA DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS'EC ION
FINAL APPROVAL OF C"NST',UCTION ✓`
OK TO ISSUE C/O OR C/CV/
A SIGNED CERTIFICATE OF •CCUPANCY MUST BE
OBTAINED FROM THE BUILDI DEPARTMENT BEFORE
THESE PREMISES A', OCCUPI,D!
REMARKS:
•
. ARRIVE
I)
DEPART , 1
• INSPECTOR
Jown of QueeniAury
BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR' S REPORTG/27A4
NAME —7;3
LOCATION
Date �' 6 Kr--/ Permit No. to
* * * * * * * * * * * * * * * * * * * * * * *
60/ = APPROVED - YES.// NO
/ooting/Pier Forms !/
Foundation
Waterproofing
Backfill •
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves \ /
Ext. Porches / •
Finished Floors \
Interior Trim. \
Stairs & Railings \
Cellar Drain Tile \
Concrete Floors °
Plbg. Fixtures / \
Gar. Fireproofing / \
Door Closers / \ •
Smoke Detectors /
Chimney
•
INSULATION:
Foundation / t
Floors
Walls i •
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 2_11 v ZL/0
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