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1989-249 Ar i,►�„i�p,, +fit wT +C TOwN of: QVEENSSURY w,p,,RREN CQ►UNTye NEW YpR1C pate 19 ` f J work reai+lcstcd to be done as shown by Pori" No% 89-2A9 i to Certify char has beon cornplMcd. yore may be espied a '� � This structure ,riarr Geo irga Ri to pwnphY C )Teter 5v C}rder Town $card vrovrN 4F IUEENSSURY - Director of Bldg, ac code Enforcement sv k A BUILDING PERMIT TOWN OF QUEENSBURY � No. 89-249 WARREN COUNTY, NEW YORK ro r—• I PERMISSION is hereby granted to iv OWNER of property located at rnn Roa Street, Road or Ave. 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 v approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Eb2 Address is r ox 205 Luzerne Road sbury, N . Y . 128D4 0 CTOR or BUI LDER S Name ti+ 70 CNIS d CTOR or BUILDER'S Address ECT'S NameECT'S Address to i I!" C 74 [- PLANS E of construction — {Please indicate by X) i Wood Frame I 1 Masonry I ) Steel ( ! O Q+ sa. and Specifications r r lot plant , specifications , and application . No. 4 x 1D porch as per F posed Use arch 0 c/c incl . December 1 19 89 $ 15. D0 PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be mad to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queens'b D y of May 1989 for the Town of Queensbury SIGNED BY BuiMclirg a Wing Inspector TOWN OF �?UEEN5�3UIZY APPf, TCATFC]N T Of: fiUILI� IIIC� AND ZONINGPLiRMIT 1 tt.cc- °w�' Q'� U� r�r X'ec.iavF.°d{ f Y ed Fit . .. APR r7 r q Fee Paid BU I LDI NC AND CODES U1 'PARrDT-Nrf Date. 14,6 ued E3LDC,,. CCIi D � DAY and HAVXLAND ROADS RID I Box 93 Penmit fJa . lS f r pUEEJV88URY, NE1q YORK 12804 Tel (518 ) 7921111111111 Ext 204 A 1'ERtIIT MUST Up OBTAIp4r:. D BEFORE BEGINNING CONSTRUCTION a NO INSPECTIONS WILL i3L, MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT . ear All ai,Plicalale spaces on this application must be comPlctcd and the str<ylature of the applicant mu st ai� r on the reverse sicla OC this sheet . * * rc * * * x A , The owner of hisWroperty is TEL � . L . O . Address +. 1 s TAX. MAP N{) property location -; Tx � . I p �•h74�s-i leas there been any split of this property since October 1 , 1988 ' ^s/ no ro.— If yes , Planning Board Review is necessary . LOT Nov SUBDIVISION NAME r IF APPLICABLE The person responsible for supervision of work as regards Building Codes is : NAME PoO _ ADDRESS Address Tel 7t [lame of builder Tel C , tdame of Plumber P.ddress Tel name of Mason Address 14ATURE OF PROPO--L� '❑ W RK = ,. ZONING IN1 ,01z A:i` ICII`I ( office use on19 ) Construcciors of a nuw buildincl * ZONING DESIGNATION OF PROPERTY Addi [ ion to :a building PERMITTED PRINCIPAL PERMITTED ACCESSORY �AltuC4ti0ft to a building * REVIEW REQUIRED — PLANNING BOARD ZONINGS30ARD� r �Q cluti�cj � to ex[ a ri Cris REVIEW [t�t3r work (d� criV.e1 SITE PLAN REVIEW # APPROVED DRTL' t GkOSS AREA OV PROPOSIELK STItL1s.: `i` LIItE VARIANCE # APPROVED ❑ATE * Remarks : 1st Floor sq ft . * I or s f t . * CO1•iP '1'L. Ip11'OI:1�Y.A'1'ION 1tL:llUllt4:D L11::LLNrJ . 2nd Floor - 4 w.e of pCOL3urty, tt % r /a'Ft Si . Other Floors sq ft . isti�ticj builaiatj ( not cellar or bastimentl . xCZ, TOTAL FLOOR AREA sq _. : . .-e r7ta f t . * Lxi}cing r,uilalinaj ( ; ) Uae iz4 of new line tur ruc .� ' ft x /!�' ft L.,oai, ,datio pier slat+/crawl/L3artiul/ full ' YCGj�C1 +Y buiitfing , di::tancu trout L'r'�1'orCy * (CirCla: one ) � ,' � � Front i_ -ram' i' z Rear yard 01 ft „ yard Na . of stories (h:aluicr.blaz +Lxdce ) Side yards "/` ft and tt 11uight ( Uradc to ridgte ) ft " If oil Cony:[ , uutb"ck from Side atruwec �rt 1c residential , no . of ftamilias„_� OCCUPANCY INFORMATION No . of rootn:i ( `xcluding b"th3 ) ilo, of bcdroolins PRIMARY LUILDINO No . of bachrooult; * Ono fancily dwelling 1' rita try Two f"mily dwtal.liny Al raf fu.:l� r 'R i Multirjita �lwcsllSrsg / Number of units x No , of firacplaceig to tf" arx:.tall ::d -- PexVanc:nz occup:utcy Will :a r+uuai :itrJVa; bu in:: talluci ' * 'iransit:att Drcup"ficy c:untrul Air conditioning.' * LlusinErss LIUILfliNG STYLE, PRIMARY STRUCTURE . Inc►ustrial ❑thCr l .ti �cla Canc.:aul�[.r .ry i c+n calain It :addi [ion , what will t .ai ::ud raxlcli M:anSic.�t Dul�lux r-�:-.1- -3-L—i—Clevel Old atylC lauaty.alQt.f ► ACCESSORY BUILDING O[ lu.:r C:1r Col ona:ai suave Y'own mouse Lsatachau rj:ar�agojone cwrl two earl " Acza�cheU rjurtagufoald Carl t owo car/ cua' clRcs.(. oNl: PLE�1 �3; 1 � w • • � . s ■ • • w r • ,. s at r } 1'ri.Vata: Storage building ua 'rIMAn•(: D MARK 'r VALUU OF * Or.he r. INVORKATTON ON QUTLDIN/G SPrCIFICATIONS , ON REVERSE: SIDE OF T11IS SHEET* TO BE COMPLETLol Form BPA 10/88 V1 P BUILDING PERMIT APPLICATION CONTINUED - ~- BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what ? '"yr'� Foundation wall material � r�/� C17 � _Thickness`_-, rr � 7 Depth of foundation below grade ( to bottom of footing } Will there be a cellar? ' Heated or unheated? �11.. gloor sg . footage •{f _sq ft Will there be a basement? /_.-Will any portion be used as living space? � � - ( If so , what portion ? sq , ft . -- - Type of Type of roof - sloped/flat/shed/otherSf�/ Material of roof /� r Size , Wood studs " X spacing "o . c , length Ft , Joists ( floor beams ) Ist . floor -_'ix � " spacing -"o . c . span rO ft . Joists ( floor beams ) 2nd . floor "X spacing "o . c . span f_�t . Overlays ( ceilinr beams ) .__r "X _" spacing „"o , c _ span�ft . Roof rafters r2�__-^X_-�_ spacing- �o . c , span- ft . 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 _ €t . in . Water supply - Municipal or private wellL� SEPTIC SYSTEM _ Distance from ANY private well ( including ad}oining properties f....'�4 ft _ (A separate application is necessary for any repair or new installation of septic system ) DECIPARAT10 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 la Gas pertaining to the proposed work shall bV complied writh, whether specified or not, and that such work is authorized by the ow r, ter ' Signor re f � : ! Owner o er's agage ,'architect, t©r G' f * * * * * * * * * * * -{� * * * * * * * * * K * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By t Tow OF QUEENSBURY 31 BAY ROAD tL NEW 2804 q Y } OR TELEPHONE ( 518 ) 451 4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PEIMIT# TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL � COMCKFILLL STRUCTURE ) —;,.{SOOTING FOUNDATIONNAL £LECTRiCAL� SEPTIC ROUGH QLUMBINGwGOUSTOVE/ FIREPLACE '~ INSULATION REMARKS APPROVAL N /A YES ` NO CHIMNEY HEIGHT/LOCATION - B VENT/LOCATION PLU14BING VENT ROOFING SIDING 'DECK/PORCH/ STEPS /RAILINGS RELIEF VALVES NG FURNACE/HOT WA ER OP A OR INTERIOR TRIMS/ PRIVACY 0BASEMENT ORS FINISH FLOORS : BATH/KITCHEN WATERTI HT OTHER FLOORS SWEEPA E OTHER FLOORS CARPET D__�- STAIR CLEARANCE/RAIL GS HANDICAPPED ACCESS SMOKE DET£C TORS AN BATHROOM FANS/WHOLE U E ALL PLUMBING FIXTURES OPERATI - GARAGE FIRE PROOFI.iiG DOOR CLOSERS 0 RR N E/pEMISE WALLS DUMPSTER IREMEN S SITE PLAN/VARI NC RE FINAL ELECTRICAL OK TO ISSUE C /O 0 C /C COM }yTS ARRIVE__ _ �-�- DEPART-.,..,, -- INS . omo ■m -- 'rows OF QUEENSBURY BUILDING LDNG AND CO ESDS PARTMISNT BAY & HAVILANp QUsEHS➢BURY. NEW YORK Z280+E TELEPOONE (5I$ ) 792-5832 BUILDING INSPECTOR' S REPORT pXQU,EST FOR INSPECTION RECEIVED NAME LOCATION LOC .f/ira/ G,�r) PERMIT DATE s -- '"-- APPROVED Y£S NO FOOTZNGIPIERSUR FORMS MONOLITHrC PO PR FING�r--� FOUNDATIONIDAMP- BACKFILL APPROVAL ROUGH PLUMBING FRAMING -- ELECTRICAL ROUGH-IN INSULATION --- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTE STAIRS-CLEARANCE 6 RA u PLUMBING FI,XTURESIREL AL INTERIOR TRIMI PRIVACY IRS FINISHED FLOORS GAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS CTX Sp FINAL ELECTRICAL I ONSTRVCTIO �- -- _ FINAL APPROVAL OF (]K TO ISSUE C/o CIC ,MUST BE A SIGNED CERTI CATE OF OCCUPANC ENT BEFORE OBTAINED FROM ARBUILDING OCCUPIED!E'PAR"C THESE PREMISE lq$MARKS: f i 1*4 .+"" pEP INSPECTOR ..lj� TOWN OF QUEENSBURY ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS OORK TELSPHONEY` ( 518 )NEW Y792-5832U� BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATni PERMIT #� - DATE +L-r--- APPROVED YES NO FOOTING/PIE R FORMS MONOLITHIC -PROOFING F�NDATION/D ""II ILL APPRO L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CE`ILIN+G FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PILS - � STAIRS-CLEARANCE & INTERIOR EF TRIM/PRrv, CYPLUMBING FXXTURESI IDOORS VE - FINISHED FLOORS GARAGE FIREPROOFS G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTION�.� _ FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIF ATE OF OCCUPANCY MUST OBTAINED FROM THE BUILDING DEPARTMENT BE E THESE PREMISES ARE OCCUPIED? REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILA� GADSORX 28CJlb QUEENSBURY, I792-5828 TELEPHONE (5I8 ) 32 BUILDING INSPECTOR' S REPORT 1gEQUEST FOR NSPEC`I'ION RECEIVED NAME (/ LOCATION ref_ ? PERMIT # � DATE APPROVED YsSdjNO xN PIERS Llo'MONOI,ITH POUR FORMS ,,OUNDATION�'DA!'MP~PROOFING��- BACKCFILL APFROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROU IN 4 INSULATION: ` FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: Id CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS—CLEARANCE PLUMBING FIXTURES/RELIEF VALVEINTERIOR TRIMIPRIVJ4CY DOOR. FINISHED FL0ORS ' k GARAGE FIREPROOF , G DOOR CLOSER (S) SMOKE DETECTORS N ...... FINAL ELECTRICAL FINAL APPROVAL O CONSTRUCTION A SIGNED CERTIFtF. ATE OF OCCUPANCY MUST BE OBTAINED FROM T BUILDING DEPARTMENT BEFORE THESE PREMISESE OCCUPIEDI RgMARKS: _ SPECTOR 7 - FA-fY . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURY, NEW YORK 128096 TELEPHONE (5I8 ) 792~5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME u LOCATION 59)5 DATE PERMIT _ —� APPROVED P. I y9si IIIINQ FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFSLL APPROVAL RO H PLUMBING FRAM G ELECT CAL ROUGH-IN INSULA ONr FOUND ION FLOORS ` WALLS CEILING FINAL INSPECTION : CHIMNEY HEIVHT ROOFING '. SIDING EXTERNAL PORCF#dESISTEPS STAIRS-CLEARAN�,vE & RAILS�—� PLUMBING FIXTURVIRELIEF VALVE INTERIOR TRIMIPR3 ,VACY DOORS_ FINISHED .FLOORS : GARAGE FIREPROI DOOR CLOSER (S) , SMOKE DETECTORS FINAL ELECTRICAL I PEC ON FINAL APPROVAL OF OONST TION_ ^ OK To ISSUE C/o ORS G/G A SIGNED CERTIFICATE OF OCCLANCY MUST BE OBTAINED FROM THE BUILDING ,DARTMENT BEFORE THESE PREMISES ACRE OCCUPIEDI , REMARKS : #; 5 ARRIVE IN ECTOR TOWN OF QUEENSBURY Bay at Haviland Road, Oueensbury, NY 12804-9725-518-792-58;2 Date RE ; Tax Map # Building Permit # c�l�- 2hf1� Dean . f The building permit ( s ) indicated above and issued to you onr� = c��f has now expired . All inspections required by the Department have not been done and no Certificate of Occupancy or Certificate of Compliance has been issued . In order for this permit to remain active , and for you to continue with your project it will be necessary for you to renew your permit as soon as possible for a renewal fee of $ 25 , 00 , This will extend your permit for a period of one year with two six month extensions available should you need them . Please contact this Department upon receipt of this letter . We anticipate your cooperation in this matter . Very truly yours , DAVID HATIN , I eCTOR BUILDING A CODE ENFORCEMENT DH ; Im "HOMF OF 1VATi RAt. RFAI TY A r1000 P[.ACE TO 1Jk/F " SETTLED 1763 f-f ----- - iC � cerrnl wli7e fe 1. � rv' F �F ' y 3� 4 i , Q C s