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1989-253 '"ERTIFICA'Plk C.N. COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK October 25 , 199© bate 19 This is to certify that work requested to be done as shown by Permit No. 2W has been completed. Thisstructure may be occupied as a Glarage Apartment With AUQlgatjGns� Location Fact Road Owner QVMRG - By 0rder Town Board TOWN OF QUEENSDURY .llaz e Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY = WARREN COUNTY, NEW YORK f 1 PERMISSION is hereby granted to Rrilocip Co Irl OWNER of property located at at Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a Alterations to Garage apartment 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. c'ro 1 . OWNER'S Address is 7C t— i..i P . O_ Box 40" Queensbury, N . Y . 12804 f70 2_ CONTRACTOR or BUILDER 'S Name n m Self 3. CONTRACTOR or BUILDER'S Address Same 4_ ARCHITECT'S Name rt'1 Nib CA 5. ARCHITECT'S Address �1 O 6. TYPE of Construction — (Please indicate by XI ` ( ) Wood Frame ( I Masonry ( I Steel f i 7. PLANS and Specifications 203 sq . ft_ alterations to garage apartment as per plot I% plan , specifications , and application _ r�'-- rn m $. Proposed Use �. Garage Apartment with Alterations a x N �I G] $ IDO PERMIT FEE PAID — THIS PERMIT EXPIRES llpcember ] 1989 ___ (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of ilueensbury before the expiration date.) m M Dated at the Town of Queensbury this th. Day of SIGNED BY for the Town of Queensbury Buildingand ton Inspector ....� TOWN OF QUEENSBURY APPI. ICA1'T'TON FOR BUTlII ING AND ZONING PERMIT c- F'ec T:eu TOWN OF QUEENSBURY Reu.z d RECEIVED � s � F1ee F'uid s o C MAY 19 1989 BUILDING AND CODES DEPARTPTEII Date Ieaued BLDG. & CODE DEFT. BAY and HAVILAND ROADS RD 1 Box 9a PUEENSBURYIrWEIV YORK 12804 Pehrnc't No Tel . ( 528 ) 792-5832 Ext 204 f * • s ■ s r * I * s Yr s s s ! s '* r p r ■ s ■ ■ * w ■ R ■ w s * ■ • ■ w A PERHIT MUST B13 OBTAINED BEFORE 'BEGINNING CONSTRUCTION * NO INSPEC'CIONS %FILL BE HADE UNTIL APPLICANT IIAS RECEIVE. : VALID BUILI] INC PERMIT . All applicable spaces on this application. -1st be Completed and the S � r* pature of * t * e applicant *r-t* st *pcarko * . c reverse * 1 * a * o * * his * y * C � t � The owner of this PrOPerty is : SICUCJt' T E L lY . 4 . A d d r e s IS ,f5 fl )( 'ii� G7 5R 6 tT7CJ.r'��+''� f3 L3y.�J,✓ iroperty locationl4W &AZ: S / 9 BLS ST /LG�Ai� _ TAX MAP NO . SU / / / _ ,7 since October 1 � 1998 ? / slay there been any split of this property yes no If yes . Planning Board Review is necessary . LOT NO . SUBDIVISION [1AME , IF APPLICABLE 111he person responsible for supervision of work as regardskk Building Codes is : P . O . ADDRESS TEE . NO . NAME Tel rdame or builder Address Tel t4"me of Plumber T.ddress Tel Name of Mason Address (4ATuRE OF PROPOSCD VX)Ry- : ZONING INTC1imA.`I' ION ( O -ff- ae use Only ) Ccanstructior ZONING DESIGNATION OF PROPERTY Of ilew buildin7 �Ad.iition to a &Iing + 'PERMITTED PRINCIPAL PERMITTED ACCESSORY ..X_A1 ter:At ian to a VIIIouilding # REVIEW REQUIRED � PLANNING BOARD ZONING BOARD. ( Ito elk.;n.7+ to .:xterior climensians3 APPROVED DATE Uttar work (Je:criU.tl SITE PLAN REVIEW N VARIANCE N APPROVED DATE t: 1tCsS5 ARL:A OV ilnoposzok STRUCTURE s4 f t . Remarks 1st Floor o3 _ 2nd Floor sq f t . w COmPL L'1'1 INVO144ATION j(.4QUIIcLD 13L: l.C.iYI . ,'�i 'f.a: s q f t . l o f lsrot�u r r=y ft: x ! 5rr. r t . other Floors L Xistilul l�uil.Jia14] ( sl Site 9 ,1 y` 4 X .I ( not cellar or basemencl C t • l M A!i/ TOTAL FLOOR nREn _Ia 7 L ' srxi: cing buiiaing (z.) LISu c;�„X ji"�cte' �2.e�o4r UC new :+LrLCCUI`.: 'fit X £ t di:wCariC� LY'oil, j,r4lj�a:rty lirf�: > 'uastd:, tic pia sla /cr:awl/Iyartx:al/ cull ; 1'ra1�o :Ca !ou>rlcJang , -circle one ) front yard StJf fc Rear y"rd 7 ft • is Nu . of stories (h:abil;ZAb1� .lsaccl ua Side ,yards �— tit Zand _ 11A r' c 11� ight ( grade to ridgelr %z £ t • It on eurnar , ie: tbaCk froia side: strue: t It: residential , no . Of fumiiies� OCCUPA"LY INFOP44ATICN No . of rooms ( excludinal b"ths ) k1oo of b4droalrty PILIMARY LxUILAiN{; No * of bathrooms „ _.2�.One: family dwelling i•ritrlary ktu:► ties=,€ sy::t �ss�_�,_,_, y 'L`wo i:.usily dwelling -ryl1u of fuel Multil-I glwelling / HlAmtrcr of units_ of firaplaces tc� t3+= ir> :t:.11�d tiCa 1'8r3n.lfle:s►C occup:arlsy : 1 :a wuc�rs �tovc: L+u ir►st:.11ucl' AZO l'r:ana:iesrt occup"Itc:y v.:ntt..l Air cal,�litiuning:' i +ter I�usinuss (iUIUDING STYLE, PRIMARY STRUCTURE . Industrial Other s;..+ssch Concawkj.�c,r..ry Loy? Cabin * Lt wddicicln , wl+wt will use lae7 Ic.a1. trFAI rarsclx MansiiII D"Jilux tiplic level Old styli: lsu, l•J.alow * ACCESSARY l3UIl.pING^ C.,Nu Cod C4tt:+g� tkLO car CUloni:al itOw '1'owl� }louse * "tachad [{ ;1r:,g4'/QnE! Car/ 'two Cal ( ri Attach►:u c�urt.►gc:/Ora.: Car/ two car/ C:a a' CIRCLE Otil: PLEALE 1 a w ■ w r a ■ A ■ r • v s * r '�' lsrlVatb scora.ge building MARaCi:'1' V AI. 0 k OF * OtYa� C f CONSWAII iUCTIUN $ G INPOS14ATION ON OUTLDIN+G�SPECIFTCATIONS , ON FtGVERS): SIDEOF 'i'NIS Skll >r'1', 4O Be COMPLETED ' Form DPA 10/88 v1 M BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS Type of construction , wood frame , fire safe , etc . typt,, n cn� Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall materia Thickness C51 �yrp� I Depth of foundation below grade ( to bottom of footing ) ,yf$ t• Will there be a cellar?��`Heated or unheated? ,t,r,yr t� Floor sq , footage [13 -sq ft Will there be a basement?Will any Portion be used as living space ? ,t/ a { If so , what portion ? sq . ft . - - Type of use? yr3 -AO ,tr ,4 9*r Type of roof - sloped/flat/shed/others &,ty&_A Material of roof Size , wood stud s_^ �c���' spacingZ,`r "o . c . length ft . .joists ( floor beams ) lst , floor "x " spacing "o , c . span ft . Joists ( floor beams ) 2nd . floor "X " spacing "o , c . span ft . Overlays ( ceiling beams ) "X " s acin P g..�__-"o . c . span� ft Roof rafters ��" �{_4j_mm spacing_Zf.o . c . span„LZ ft . Roof trusses (pre_engineered) spacing " o _ c , span ft . Exterior wall finish ©,¢ O€ what material ? bra{ G Interior wall finish If a g - -- gara e 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? Azc, Height above roof ft . Depth of chimney foundation below grade €t ,, Depth of fireplace hearth ft . in . Water supply - Municipal or private well r,,,,orGy 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) D E C L A R A T 1 0 N 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 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature5_.f� ') Owner, owner's agent , arenitect , contractor �- SPECIAL CONDITIONS OF THE PERMIT : - ` to C.n . By_.... TOWN OF QUEENSBURY �_---- BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QuEENSBVRY. NEW YORK 128046 TELEPHONE (518) 79 2-5832 BUILDING INSPECTOR' S REPORT J� REQUEST FOR INSPECTION ZECEIVED �--- NAME _ � �dry o LOCALOCATION DATEPERMIT #_ ff f APPROVED YES NO r FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDAT.roNIDAMP-pROOFING ', BACXFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOVINDATION FLOORS WALLS CEILING JG FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL FORCHESISTEPS STAIRS-CLEARANCE & RAILS — PLUMBING pXXTTURESIRELIEF AL .� INTERIOR TRIMIPRIVAcy RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) � SMOKE DETECTORS FINAL ELECTRICAL INSP TION FINAL APPROVAL OF CO T'RUCTION OK. To ISSUE C/O OR C C A .SIGNED CENTIFICAT OF OCCUPANC MUST BE OBTAINED FROM THE UILDING DEPA ENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS : � �, p;rf(},cJ f 4 �--,,3 1` I`ve 4V O,/5 nEQA — I PECT'OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVIYrAND ROADS ,2UFsENSBURY NEW YORK 12801R TELEPHONE (518) 7.92-5832 H 3ILBING INSPECTOR' S REPORT REQUEST FOR INSPECTION *FCEIVED NAME Ae LOCATION _ DATE 'PERMIT # -� APPROVED YES NO FOOTING/PIER MONOLITHIC UR FOR1 FOUNDATION/D P-PROOFING BACKFILL APP VAL ROUGH PL MBI FRAMING ELECTRICAL RO GH-I I14SULATXON: FOUNDATION FLOORS WALLS �py.. CEILING (FINAL INSPECTI - ff CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORCH S/STEPS STAIRS-CLEARAN & RAILS PLUMBING FIX S/RELIEF VALVE INTERIOR TRIM IVACY DOORS FINISHED FLOG 3 GARAGE FIREPR LNG DOOR CLOSERS SMOKE DETECTO S^ FINAL ELECTRICA'. IN PECTION� --- FINAL APPROVAL 7F C6NSTRUCTION OK TO ISSUE C/ OR C; C A SIGNED CERTXFXCATE OF OCCUPANCY MUST BE OBTAINED FROM JHE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS : �T firASE '/ i - %:d or5 Pao . ARRIVE DEPA.R INS TOR TOWN OF QUEENSBURY f �✓ • � BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS f�i/�I ✓ / QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECE2 �JI'� NAME LOCATION � � PERMIT �� [ DATE AJ�PROV ED S NO FOO ING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING % ELECTRICAL `#LOUGH-IN INSULATION: FOUNDATION FLOORS WALLS IIIIIIIIIIk EILING INAL I,NSPE+CTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH /STEPS STAIRS-CLEARA E & RAILS PLUMBING FIX RES/RELIEF VALVE INTERIOR TRI /PRIVACY DOORS FINISHED F RS GARAGE FIR PROOFING DOOR CLOS (S) SMOKE DET CTORS FINAL ELEC ICAL INSPECTION FINAL APP VAL OF CONSTRUCTX0k. A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED' REMARKS: U 3 1 I I&A atl Av C9 � '� INSPEC R i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / BAY & HAVILAND ROADS QUEENSBURY, N YORK I280& TELEPHONE { Z8) 792-5832 MING INSPECTOR S REPORT REQUEST FOR SPECTION RECE ED NAME 1 Y LOCATION DATE PERM T # If q`2 S _ -- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP PROOFING BACKFILL APPROV ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING sIDxNG EXTERNAL PORCHES/S S STAIRS-CT.EaR�1NCE & ILS PLUMBING FI}CTURES L EF VALVE INTERIOR TRIM/PRI ACY OORS FINISHED FLOORS _ GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTIO _ FINAL APPROVAL O CONSTRUC SON _ ox To :rss E: C/o R C/C A SIGNED CERTIF CATS OF OCC FANCY MUST BE OBTAINED FROM T E BUILDING EPARTMENT BEFORE THESE PREMISES ARE OCCUPIED REMARKS ._.e. Le, 0- NO 0 ARRIVE DEPART z : S s INSPECTOR