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1989-219
L'UW " . . � FICATE + 'F CCUI'ANY +CERTI TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK 4 E Date November 8 19 SA This is to certify that work requested to be clone as shown by Permit No. 89-21 k has been completed. This structure may be occupied as a Single Family Dwelling it/ alterations LA)oeAdon Chas t Ridge Road [� J I Mr. & Mrs . Mintz , M. U . S . Owner By Order Town 'Board { TOWN OF QUEEN3SURY G Director of Bldg, & Code Enforcement it sc ;. BUILDING PERMIT TOWN OF QUEENSBURY No. 89-219 a WARREN COUNTY, NEW YOR K "p' w cat PERMISSION is hereby granted to Hr Rt Mrs Mintz M D S �. Chester Rid p Rnad Street, Road or Ave. OWNER of property located at � in the Town of Queensbury, To Construct or place a + 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 Oueensbury Building and Zoning Ordinance. [CONTRACTOR 'S Address is SAME of N M ACTOR or 6UYLDER"S Name Paul E . Cushing Do 3C or BUILDER 'S Address 4n 274 Bay Road Queensbury , H . Y . 12W4 s v 4. ARCHITECT'S Name 5. ARCHITECT'S Address t'7 6_ TYPE of Construction — (Please indicate by XI X rn [ ) Wood Frame { 1 Masonry { I Steel { 1 co t-r 7. PLANS and Specifiratiorrs NO. 300 sq . ft_ interior alterations as per plot plan , specifications , C and appl i ca'ti on S. Proposed Use p Single family duelling W/alterations c/o incl 1 89 IT EXPIRES DeCam +ey' $ 24400 PERMIT FEE PAID — THIS PERM �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.) �. r Dated at the Town of Queensbury this — lOth Day of May 19 tt C SIGNED BY '`� �-� for the Town of Queensbury _ " Suildirrg and Zoning Inspector .o%-fr� r ft A C — TOWN Q QUEENSI3UI�Y AI) PI. ICATTLDN FOR BUTLDING AND 20NINGr'- Pa tc- 4e WN OF:Fee,i ev ° RE'C�E, p�Sf3Uf;y Reve APR Fee Paid , �-- WILDING AND CURES Lil :1'h12"IA !T Date. Ibaued_____� �. BLDG. & CODE ©Epr. DAY and IIAVXLA1VD ROADS AD ,I BOX pee nAi ...t NO . 0UrE'WSI3VRy0WrjV YOpK 22804 Too . ( 518 ) 792-5832 ,Ext •204 r x x r * W 1* * t x x * x x x * x aR x * * x x • �% x * x w x x x c x * ! A IlEittl lr{U5'1' 134 OBTAINFU BE1O"1 BLGINHINUnCEIVED A'CVINV.LIDu ]3LTQTIITICUI' CRI�SI '('CfIONS VIL• L Br., MADE [lfJ1' IL APPLICANT iiap lication must be cotupleted and tile All applicable spaces on this application •; riBatore of the up�plleant tttust al'ipear � on the reverse sick of this sheet . * ak x * Mr . & Mrs * Mintz , M D e5 * * x rl� e owner of this Property is TEL . >> . c, , Address TAx MAP t1D .(5;01 / ' llroPerty location Chestnut Ridge RIIIoaIIIIIII d this praP Iller III ty since October It slit of 1933Ei ? Yes / tko�-�-- ttas there been any P If yes , Planning .Board Review is necessary . LOT NO • SUBDIVISION NAME , Ir APPLICABLE 1^ hc person resPansible for supervision of work as regards Building Codes is : Paul E . Cushing , Architect 274 BayRoad e TkL . NOo P. Plow N ADVL� Ess mel Address TC1 3Jarn+e of builder hddress N"jlko of Plumber Tel N:afne of Mason Addrers j4ATURE ()F PRorC)0"f!D %iORK . [PER NG. 1N1+P01t1. Arr10N (' Office use only ) rG DESIGNATION OF PROPERTY CnnatruCtioll of a new building # pCRmI.a�ED ACCESSORY �Ad.iitian to :a uuilding PERMITTED PRINCIPAL X A1Guration to a )yuilding . W REQUIRED - PLANNING BOARD ?.DNI11G i3f3AR { Iso c3�.rngL: to oXrL: ri" rlimcnrions) APPROVED DATE Utl�+ar wort: {^.]e .cr -b7 41 Adding l2 ' ` PLAN REVIEW 11 interior partit.3-On and l roof windowArtc>~ APPROVED DATEc hass AREA or• PROLadSED STRUCTUIL - rkslst Floorsq ft 2 nd Floor s q f t - r comPi.L:'1'L 1Fat'Dt:r ►A'1'iO11 3cl r,L3 LicL 6 Ltt L.G+Ll « Si4o of propurtyy� �• � Other Floors scI ft ■ i:: "tirrg lauil�lin�] I :: ) ai ::e _ ( , at cellar or basc: lne " L ) .r TOTAL FLOOR AREA s4 ft . " Lx] ::tinr3 l�uilclir�►a {� ) LJs.: i ce of ricw structur.% f t ~ r'uu„d;rtion-pier/ sia'ks/cr:awl/[�,3rti:al/ full YroLao:;cd t,uilding , d.i::carlteu from Ldroj-)urty 11 ft (circle orta ) Front y;, rdw .fr. Rear yard rt Wa , of sCoriC « (habi-CablQ �L)ca" ) � Sidra yard:; _ ft :and rc height {ilrade to ridc360 fC • * If on corner , ..;utback Pram side ,cr+aoc If rcuiduntial , now of fc+mike :_. R OCCUPPJri:1r 1NF0WIllICN rLo4 of rooutis ( cxcludistij b"rthsl tto4 of bedrooms PRIMARY LUILD114C w No . of bathroout * X Onc f;uuily dwelling L'rittriry 11uaG1rtrJ 1'yl�u Uf fuel Multil�l. t1wellira3 / Number of units No . of f ireplacu :: to 1u,. ixt :tali crlw * i�cr�a:►nuttt occup;aiLcy Will ;a woo.! ;Gave LL.: irrst:xlls:c!?� 'i'r:an :iut� L raccul+arrc 1 t.:uratr;al Air corelrliCiunirrg: � y, 13uwinc::;:+ BUILDING STYLE, PRIMARY STRUCTURC „ lndu:trial r achcr i .ar�c3► Contu+nlaor:ary Lori C;xbi.n if addition , wlfiat will uue D+alFlux bu? .� i :. cl rand► M anyi c.�i F uplit luvQ1 old ycylo UurrL}.ala .l C:, u Cod CatCar� Glttwr " AGC15=iORY tluTS.GILiC,w car Colcsni:ai UOW 'Town )louse ' Laucach.:d g"rr,cyc/one car/ two car/ cue ( CITtCLIi ONL: PLr:Ar.E ] " AttiackluU r3:ararlu,r+an.: car/ two carj� w x r a ■ ■ x • r . • a x r a x M a larlV;at►: scar"ge building t ", '1` IlLA`L' li ] Mnl2T: T 't' VAI. LSIu OF w Othe r coN :: ^r' 3tucTlut+ 2000 . 00 Iwr'or)l,tA•rzoN ON (1UTLDTNC sprCIPTCATTONSa ON R.i_VERSI2 SIDE OF TkIIS !'.11LE'r , •ra BE COMP"'" Form VPA 10/Bd V1 BUILDING PERMIT A.PPLTCATI0f3 COUTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material 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/shed/other Material of roof Size , wood studs " x spacing "o . c . length ft . .7oists ( floor beams ) 1st . floor "x " spacing "o . ca span ft . .joists ( floor beams ) 2nd . floor "x spacing of span ft . Overlays ( ceiling beams ) "x "' spacing "o . c , span ft , Roof rafters 2 "X spacing 16 O . C . sppa,a-x' 4 ft . RIs ing Construction Roof trusses (pre-engineered) spacing " o . c , span ft . 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 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 ) .DECLA RATION To the best of r"y 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 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by Jhe owner. Signa Own , owner'$ agent , arch7tcorltractolw SPECIAL CONDITIONS OF THE PERMIT : By 1�* � � � a.S u E/ aVa.T E/,7rr K.'+:n n'-✓✓I kR Y PRODUCER TH;S CEPT.F!CA'"E .SSUED AS A MATTSQ OF INFORMATION ONLY AND CONFERS '=?"FCATE •'d'LuER -HIS vFRTIFiC.ATE DOES NOT AMEND. - = '• cRAC 'c LFF,MDED Bw '"E POLICIES BELOW LINC --- _ - - - - .o }. . wn�; FilN610N :i'11t1- . I . 1 CONIPANIES AFFf...r' RDiNG COVERAGE NY 11 M. 11 . P 1U, 1 1 k- N.; t .l 1 ) 1 , l_,I.. 1. Y . _ - - B INSURED c t•t IN( : . _ - — I' I ) i ) 7( (;i . }_. IdP:a } Al 1.. ;.: . 1+lY ]- :' THIS IS TO CERTIFY THAT POLICIES OF INSURANCE ;_rS' ED BELOrL ,, "`� _" �•�'E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION - _ `� - _ - L4!='• ` +' `y '' : = �E'- t'+H.CN THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFF;7RDEC By 7 _ = _. �µc' - - - = - - � =L S.:'c - rE '_="."S Ex�' LUSIONS. AND CONDI- TIONS OF SUCH POLICIES. ~Y LTA TYPE OF NS-,PA--CE LT GENERAL LIABILITY I Is !'+I Ib'7F RC IAA .:_ .F :.". �'IL�L ` • - .. .__—.._. . $ LY J(J $ A AUTOMOBILE LIABILITY "� #`i4:i 'f ?,/. C? t) t? t�, EXCESS LIABILITY d -' - ------ - Y . i (. _ ' f�li it �l. % M1�ill ./ ll1 r: Y 4�J _ — .. WORKERS' COMPENSATION �3 ! .I r• t •r- + + + . �} ,I #) �JId AND EMPLOYERS LIABILITY �. (,� O - -:- - OTHER DESCR!PT'GN OF OPERATIONS : LOCATIONS VaE ,C:�F - i B14OFF ] 4 a . . .. " _ _ _ -. _ - - . c = , - S5 8E �-ANCEL'�ED BEFORE THE EXLL L _ _ . •; .. .- :"Pa �ry -,vIU_ ENDEAVOR TO �. �? -. - , . ` " _ -c.� "'G.CA ` E HOLDER NAMED TO THE t ('IWN (,W (JtJt'_ t: . f+l L;b l_1tiY f = - - F� _ SHA_'_ IMPOSE NO JBLIGsATION OR (.� I 1 .`. ti1.i I,. 1 .},} �. i''11:] 1,?1•:.Y 1. ,. • r - - : ., , . - 3 ,;Y;�E.4 Ta C:R REPRESENTATIVES THE NEW YORK BARD OF FIRE UNDERWRITERS 13UREAU OF ELECTRICITY 4f STATE STREET, ALBANY* NEW YORK 12207 Date Application No. on file THIS CERTIFIES THAT l away the electrical equAp.nent as described below Evilintrod"ced by il�e�l'Ielen t►arn�edow the drone application nsr..s6er in t►saprsrraiaes aJ s in the falfowirtg location; ❑ 8aserrcent l__J east FT. L�J Snd Ft. Section Black Lot toas . , and found to be Jim compliance with the requirements of this Board.. exar ined arc FIXTURE FIXTURES RANGES COOKINti ItIEICKS OPENS DISH WASHERS EXHAUST FANS OUTLETS 1F7ACLES SWITCHES INCANt*scENT FLUORESCENT OTHER AJAT. K. W. AMT. K. W. AM7. K.W. MIT. K. W. DRYERS FURNACE MOTORS FUTURE APPUANCR FEEDERS 6FECIAL REC'rT TIME CLOCKS Ops UNIT NEAT"M ►N1 T� LET IIYM i AMT. K_ W. OIL H. P. GAS N. P. AM7. 140, A. W_ G. AMT. AMP. AMT. AMr3. TRANS- AMT. H- P. NO. CIF FEET AM►. WATTS SERVICE DISCONNECT No. OF S E It V I C E rq. aE Cc. coax. A W. c N0. or MIAEc A, W. G. pro. OF wuntAls A.W. a. AMT. AAW. TYPE , 1 .e' 7W 1 .A 3W 3 X Sw 3-a Aw FER # of CC. CONn, Of w.IEC. OF NEVTKAL OTHER APPARATUS: BRANCH MANAGER Per pf This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their Credentials. J COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF u � ,BUILDING AND Cb�DES DEFARTMENT �, HAVILANEEW ROADS ORK I28C14- ,/�� QU QUEENS&URX. 528 ) 792, 5832 ! TELEPHONE f BUILDING INsPEC 'OR' S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME LOCATION �, - PERMIT # DATE ' A fopROVED ES NO FOOTING/PIERS lHONOLITHIC POUR FO �-�-- FOUNDATIONIDAMP-PROD ING!_��- sAercFrLL AP'PROVAL ROUGH PLUMBING FRAMING ELECT, ICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING �INAL INSPECTION : � CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & RA EF y�A" V PLUMBING FIXTURES/RE �� INTERIOR TRIM/PRIVAC FINISHED FLOORS GARAGE FIREPROOFSN(F DOOR CLOSER (S) SMOKE DETECTORS!_ ,��_ FINAL ELECTRICAL IYSPECTI FINAL APPROVAL OF )CONSTRUC TON Ncy BE A SIGNED T TT V BU=LDIATE OF NGC ADLE� RTMENTT,BEFORE OAR TA I NED FROM THESE PREMISES } RE OCCUPIED! i REMARKS . i i l i i i NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 128 QTELEPHONEYJ ( 518 )NEW Y792-58320¢ BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION " 7 " PERMIT #` ` DATE - APPROVED YES NO FOOTXNGIPIERS MONOLITHIC FOUR FORMS FOUNDATION/DAMP-PROOFING BACKrILL APPROVAL ROUGH PLUMN'NG X'1�'ARAMING �° ELECTRICAL R UGH"N INSULATION: r FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH (STEPS STAIRS-CLEARAN E & RAILS PLUMBING FIX RES/RELI*F VALVE INTERIOR TRI /PRIVACY DOORS FINISHED F ORS _ GARAGE FIR ROOFING_ DOOR CLOS CS) --t SMOKE (JET CTORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE THE BUILDING DEPARTMENT BEFORE OBTAINED FROM THESE PREMISES ARE OCCUPIED' REMARKS : f. i INSPECTOR TOWN OF QUEENSBURY ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ORK I28L�4- QUEENSBURY, NEW TELEPHONE (518 ) 79211111 5832 WlLf3ING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE i//., `. PERMIT " - APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING i ..�AMING v ELECTRICAL ROUGH-IN .INS ULA TION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC!!ES STE S STAIRS-CLEARANC & RA LD PLUMBING FIXTU ES/RELI F VALVE INTERIOR TRIM PRIVACY ORS FINISHED FLO RS GARAGE FIRE OOFING DOOR CLOSE (S) SMOKE DETE TORS FINAL ELECT ICAL INSPECTION FINAL APPR AL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE PRE SES ARE OCCUPIED!. REMARKS : c INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. # IOWNSHIP.>>__....._____ CITY OR VILLAGE POLE NUMBER STREET AND NO. OR ROAD pE1W€E WHAT'r1M1C.1_GROSTREET3,s P,3EMI5E$ LOCN'EIY"f` `. y SECTION BLOCK LOT f c c t4�'C•+�ti r 0 ix•, K t c r E OCC ISNAMEI // / f ■� �I /e . T BVILOkNG OOCUPANL'Y err {,.I., t.{J 4 • f HO)W T E NUMB R ,�C.+�- Lcf I F J7 / F1'I'[ lJ Imo'• WORK TELEPHONE NUMBER CURREAIT SUPPLED BY FROM THEIR BUILDING l REMOVED ❑ NEW ❑ OLD WORK IS NEW ❑ ADDITIONAL DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Na W Fixtures & BRANCH ij OFFICE USE t.oca NUMBER OF OUTLETS cles MOTORS HEATERS CIRCUITS OdJLY Lamp RBoepla lion Side Attach'[ HP Gauge INSPECTION Ceiling Wall Switch E OL1T- ^�kDE SUB- aA.SE RA4E- MENT 1111 FL. 2nd FL. Sid FL. HE ARKS: LIST o ER ELE `ZBLCAL DEVJ,CES NOT SET FORTH ABOVE. r THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL E UIPME NOT ABOVE PROVIDED BY T LISTED, , YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL FEEDERS EL'ECT'RiC SIGNS MPS 'ipYAL VWT'fS SRE OF MAINS y CHARACMIT OF`WORK ❑ EXPOSED GAS TUBE SxiWTRAN SFCNIMERS OF t z p CEA.LED CAPACITY DATE WEEK TO BE SrAFI,T-ED '✓1 DATE COMPLETED Sk2E OF SIC+N tNUMSER) MANUFACTURER OF SIGN SERVICE ENTERS BUILDING ❑ OVERHEAD l3 UNDERGROUND r,,//� `i /] R APPIJIMANTS DATE MSPECWN REQUESTED ON lon AS kP{,EAn AS r`OSBIBLEI Milli111D WTION I I A 1 0" G✓ � / ION. A S ED IN OR APPLICA NHAY BE RETURNED. RATE wililli/A�/O ELA G AU1D PRINT NAME AND ADDRESS tiT NAME CF APPLHT/f DA t7F +4P[}LIrJITICHV y m � E • ,f/ $TTEET ADDRESS 7 J r �' CO F� L ENSE fJO WHEN N'PLICABLE G�FjR POUT CFFIC ., '' {{l•Lw'� ❑ 85 John Street ❑ 41 5t to Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW PORK, NY 10038 41 St to , NY 12207 i BUFFALO, NY 14202 ROCHESTER, NY 14608 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS