1989-274 f ¢
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CERTIFICATE +�F CC MPLIANCE �
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Utter July 7 19 89
This is to certify that work requested to be done as shown by Permit No. $9'"
274
has been completed.
i
This structure may be occupied as a Sunrua�s Deck
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Location 5 Luz rne Place -----
David Lott
By Order Town Board
TOWN OF QUEENSBURY
.r 'tip
Director at Bldg. dt Cade Enforcement
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BUILDING PERMIT �
TOWN OF QUEENSBURY a
No. 89�274 �..
WARREN COUNTY, NEW YORK ,
1
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1
61'I
PERMISSION is hereby granted to David Lott give
OWNER of property located at 6�1 rtzerne Plate Street _, Road or Ave. M
in the Town of Queensbury, To Construct or place a _ ., .-oom E dcerk
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.
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1 . OWNER'S Address is
SAME
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2. CONTRACTOR or BUl LDE R'S NameCLX
Ronald Bombard
a CONTRACTOR or BUILDER'S Address
13 Ryan Avenue
Queensbury, N . Y . 128U4
4. ARCHITECT'S Name
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5. ARCHITECT'S Address (D
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B. TYPE of Construction — (Please indicate by X)
( ) Wood Frame ( ) Masonry ( ) Steel ( I
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7. PLANS and Specifications
No. 384 sqw ft . addition to dwelling ,sunroolm lEdtdeck, as per specificatio s
and application _
B. Proposed Use
Sunroom & Deck t„
a
-'s
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c/c incl .
$ 19_ no _ PERMIT FEE PAID - THIS PERMIT EXPIRES nw r 7
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C
town of Oueansbury before the expiration date.) fp
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Dated at the Town of Queensbury this Day of 19_._A9
SIGNED BY - /7y/! for the Town of Queensbury
Building and Zoning I nspJctor
TOWN OF UEENSBURY APPI. TCATTON FOR BUTLL} INC, AND ZONING PERMIT
• F!eei.eved
Rev.Leu+ect f '($! +fit€ Q,fl��RY @PG��
Y�s Pa
00 Fee Paid '5 AWAY
BUILDING AND CODES DIVARDIENT Fate Iaaued ` + ��$�
BAY land HAAUR4 jV D rO ROADS
YOR RDII Box
9B 3'ennwt No . co� +�'Qt7E OEFr,
Tel . ( 518 ) 792-5832 Ext 2D4
w * x w s * ]* w i x fll ♦ w * x a w * * R w x w • n w ■ • t * • e w x x w
A PEIMIT MUST Bn OBTAINED 13EFORE LEGINMING CONSTRUCTION . NO INSPECTIONS
WILL BC MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must be completed and the
signature of the applicant must ap� car on the reverse side of this sheet .
* 's * * * * * * * * * * * * x * * * * * * * * * * * * * * * *
,r1,te owner of this property is :
P . O . tL
Address - gs �5 � !^ lt7 Iol TEL M
Property location � 5' � _ TAX MAP NOoZ!!/�/ �_,
0s
Has there been any slant of this property since October 1 , 198H ? elz
yes no
7f yes , Planning Board Review is necessary .
SUBDIVISION NAME . IF APPLICABLE LOT NO .
The erson responsible for supervision of work as regards Building Codes is :
oel
vt Cd'7-
NAME P O . AD REu TEL . NO
taame of builderk�jk� (� or. 1 Address I Tel g• I*
rdame of Plumber F.ddress Tel
Name of Mason Ir Address / Tel
14ATURE Or PROPOSLD WRK : ZONING iNI ,'ORHA`I' ION f 0tti ce use on1Y )
c:on!; rruccior, of a Iti+.!w building ZONING DESIGNATION OF PROPERTY
YAddition to ;i building r PERMITTED PRINCIPAL PERMITTED ACCESSORY
—(--AlLwCaLion to " 1�uilding
� ino ch.ulg..: to excurior climensionsl '� REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocltur work (describLo-) ' SITE PLAN REVIEW # APPROVED DATE
GROSS AREA OV PROPOSED. : 'TRUCT' URG VARIANCE # APPROVED DATE
lst floor _ sq ft . Remarks :
2nd Floor sq f t . r C01.1PL UArl- I}Ayofgv"TIQN I(EQUIULD 1II:I.U44 .
_� - - JL'L.&j of prol,urty. / 'c fr. x -fc .
Other Floors sq ft . + lxistincl t>ui1,lilt+l ( :II 5i :.e j�C? l' c x� - �?ft -
( not cellar or basament ) * r—
TOTAL FLOOR AREA� set ft Exiaring building { ;; ) Use
of new struCtur+-� Ir 2-L t h J?- ft
t'ra.z, �d:. tion-pier/ sla cra /(aartial/ fUlI ' Vropo:;ed building , din: t:.ancU trout property .lino
(circle onc: ) Front lard 5_T�) ft hear yard 30 ft
Na . of storiew (hula -.cable space ) ft
„ Side yards "�,� f t and
height ( Urada to ridc)e ) 7� ft • # Ir an corner , :.;La
froln side: :;cr"-c ,.�-~'�I` C
It' residential , no . of families
Noo of roomti ( excludinU b...th:; l / ' OCCUPANCY INFORMATION
te,a . of bedrooms " " ~� PPZ)J .RY BUILDING
of baLhroouls �` # One family dwelling
II t`rim:+ry ,c.::aciltirl k;yt;Lt uft --�"� TWO family dwelling
Typ%: of fuel sU 4nin r"ti Multiplii: 41reell1ng / Number of units
No . of fireplacu:; to Zae in::talltci f�7 � Penwtnont 00CUP:u4cy
Will :. WOQU SLavQ t+u irtit. � iled? `iar:ansiuc� t occula„utuy
C'..:nrrul Air cocFditionir�g7 _ _
r 13usi.nc:5s
E3UILDING ;TYLC, PRIMARY STRUCTURE Industrial
li.Alkakl L'onteurlwr".ry "Q C41336n CiG t1Cr y
* It uddicion , w11"t WL11 uu� .e b ? (o fr-
IWi :.�d ranch M:tnsic+�l >7ulFlt:x �
uplic level d ac
u y 1�u1�y.� LPrr "
CHu Cod of ..g .: Octwr ' ACCESSORY UUILDING-
Coloni:al 1:aa `l'orrn Mouse " Lietachzcl y tXugc/one c:ar/ two cur/ car
{ CIRCLE ONE PLXASE ) " Attash444 9ur4dju/on.: Ciar/ two car/ CµL'
w ■ w w w w wr to • w w + w r + * * '�" Priv" Cu GLoraga building
l S '1' IMhR'1: D MARXr4l' //VAA'LUU /EOF ' �Orher
CQN :`1' ItIJC'1' ILYN LLe(0 /-"" - . - - - - •
INPORMATION ON 13UYLOINC . PICA TCATTONS , ON RcvEI:.SE SIDO OF T11IS SVIE 'T, TO Be COMPLETED !
Form DPA I0/88 v2
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc ._ cozen { d (y� '7✓� -
Will any second-hand or ungraded lumber be used? If so , for what ? C")
Foundation wall material , AOC/ e _ Thickness r
Depth of foundation below p Alb
{ to bottom of footing }
Will there be a cellar? AlU Heated or unheated? ---- Floor sq. footage sq ft
Will there be a basement? Will any portion he used as living space? -�- `
( If so , what portion? sq . ft . - Type f use?
Type of roof - sloped/flat/shed/otherMaterial of roof
Size , wood studs fix to spacing-"o . c . length ft .
ms Joists ( floor bea ist . floor _ ;2 lax
4ro ll spacinc_.Alp__ Ito . c . span I► � ft .
Joists ( floor beams ) 2nd , floor lox ". spacing "o . cw span f
overlays ( ceiling beams ) 1, I'XA spacing �"o . c . span_ �ft .
Roof rafters -"X (e.'`sspacing__r/_(,, _o . c . span__ V_f-t .
Roof trusses (pre-engineered) spacing _"o . c . span ft .
Exterior wall finishtl0 C �{��, SeCL �. , Of what material ?
Interior wall finish (r e_ i=k=0 c
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 bo provided?
Will a flue-lined chimney be installed? Height above roof ft ,
Depth of chimney foundation below grade r--- ft .
Depth of fireplace hearth 'e�'f t . 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 )
D E 0 L A R A I O 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.
Signature
Own , owner's agen , architec ntractor
Nor fir for Not
SPECIAL CONDITIONS OF THE PERMIT :
By
------ ----------- _ ... ........ __
rTo%jN OF QUEBNSBURY
G AND CODES DEPARTMENT
$UILDIN DADS
BAY & HAVILAN EW YORK 1280i'L
gVE£NSBURYr � 518 ) 792_ 5832
TELEPHONE
IMxLDYNG INSpEc'raR' S P'EPoR
xvsD
REQUEST
FOR INSPECTION REC �-
NAME
CATION PERMIT #
APPROVED
DAT-�E, ' ` t.. YES NO
FOOTING/PIERS aRMS
MO �� - ---"�-
p-FROaFxNG
MONOLITHIC POUR
FOUNDATI, RO'VAL_� --��
BACKFILL APP
ROUGH PLUMBING
RA CTRSC�►L. ROUGH--I
INSULATION=
FOUNDATION
FLOOORS
WALLS r
aExLINSPNG EaTIDN ;
-L,, GrxNAL Y HEIGHTS -
C HIMNE - -"-'
ROOFING
SIDING
5 STEPS
EXTERNAL PORCH ryxLS__ ----'l
STAIRS-CLEARA CS &URESIRELIEF L LVE
PLUMBING TR MIPRIVACY DOORS _�_----
v;TERIOR ORS
Fx PEE FI ROOFING --.
DO
OR CAS
R (s )
SMOKE DETCTORS
L xNSp CTION
FINAL gLEC OF CONSTVVC'TION��----
FINAL APPROG�AL
OF OCCUPANCY MUST 13£
C£RTIFxE BUILD
ING pBPARTMsMT BEFOR
A SIGNED E
OBTAINED FROM THE
SES ARE OCCUPIED
THESE PREMI
REMARKS : ,7arr
INSPECTOR
,y
TOWN OF QL33cENSBL3RY
BUILDING AND CODES DEPARTMENT /
,SAY & HAVILAND ROADS
QUEENSBVRY , NEW YORK ] 28C?
TELEPHONE ( 528 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
G' l
NAME
zoCAfiION PERMIT #1
DATE _�� ---�-� AppRQV VD
YES NO
FOOTINC/PIERS
MONOLITHIC F'QV FORMS OOFING
FoUNDATXOINVI
APpRQVAL
R H OV11 PLUMBING
OU
MING
ELECTRICAL ROUGH�IN
INSULATION :
FOUNDATION
FLOORS
WALLS
CEILING
FICHIMNEY HEIGHT
ROOFING
SIDING STEPS
EXTERNAL PORCHE , 6 RAILS
STAIRS-CLEARAN S�, RLIEF`' VALVEms_
INTERIOR
ING TRIMA.rXTu RIVACY DOC�RS_�_�----
INfiERIOR �I..IOMO S `
FINISHED OOFING ---
GARAGE FIREP _--- --
DOOR CLOSER ( )
SMOKE DETECiORSIhISPECTION
FINAL ELECTRIA OF CONSTRUCTION
FINAL APPROV
IFICATE OF OCCUPANCY �7ST BE
A SIGNED CER HE BUILDING DEPARTMENT .BEFORE
OBTAINED FRO14, T
THESE PREMISES ARE OCCUPIED!'
REMARKS '*
INSPECTOR
r I3 OF Q�fEEld5BL3RY / f
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS I28OR-
QUEENSBURY . NEW YORK 5832
TELEPHONE ( 51s ) 792—
BUILMNG "INSPECTOR' S
REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
r
LOCATt
� PERMIT #
+�1 APPROVED
DATE NO
YES
FOOTING1PIERS FORMS
MONOLITHIC P(7UP
'P14OOFING
oxwLL
FOU TIATIONAPR(3VAL
cGa P
ROUGH PLUMBrNG
FRAMING �---
FLECTRICAL ROUGH—IN
INSULATION :
FOUNDATION
F LUOR.S
WALLS
CEILING
FINAL INSPECTION =
CHIMNEY HEIGHT
ROOFING
SIDING �rpS
EXTERNAL OR HE RAILS STAIRS—CLEARANCE &r
PLUMBING FIXTURES VRELlE DOORS
VALVE
INTERIOR TRIM/P
FINISHED FLOORS FIND
GARAGE FIREPR
DOOR CLOSER (S )
SMOKE DETECTO S
L INSPECTION---
FINAL ELECTRIC
OF OGNST,RUCTrGN
FINAL APPROVAL _�------'
TIFICATE OF OCCUPANCY MUSTBE
A SIGNED THE BUILDING DEPARTMENT BEFORE
CER
OBTAINED FROM
THESE PREMISES ARE OCCOPTED!IIIIIIm
REMARKS : /
~-�� NSP TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY N HURYAND ROADS
NEW ORX 2280%%
TELEPHONE
P a { 538 } 792-5832
TE
BUILDING INSPECTOR' S REPORT
REQUEST FOR I PECTION R,ECEIV'ED.—
a 11,
NAME
LOCATION �__ —_�—. •L�t' I ' _ � .�. _ f
c
DATE S~ / PERMIT #
,APPROVED
YES ilLo
TING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PRO
O
F
IN
G
BA I{I L. APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRXCAL ROUGH-I
INSULATION :
FOUNDATION
FLOORS
WALLS
C E I L.TNG
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING !
SIDING
EXTERNAL PORCHESJSTE ILS "`�
STAIRS-C-LEARANCE &
PLUMBING FIXTURES/ LIEF VA ..VE
INTERIOR TRIMIPRI ACy DOORS '
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER Is?
SMOKE DETECTO S
FINAL ELECTRIC L INSPECTION_ ;
FINAL CONSTRUCTION
APPROVA OF
A SIGNED CE TIFICATE OF OCCUPANCY MUST BE
OBTAINED FR M THE BUILDING DEPARTMENT .BEFORE
THESE PREMI ES ARE OCCUPIED'
REMARKS :
c.r5 Apr-"
,U TZ /J
kf7
INSPECTOR
SELECT BUSINESS FARMS (609) $4a-5203
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
y MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave„ Collingswood, N.J. 08108
e e
Date :
City, Town or Township- r/ A044-1oba �� County U&4 gOA4 State
Location/Address V, it Y /
( If Located in Rural Area - Please Attach Directions) Pole #
Owner ;el 40 �
Permit
Occupied As Z?ea�' t 'W t Building: NewQ OldQ
Occupant sue ' 17 FY'Z _
Work Area in Building Floor #, etc. ) :
App. for: Wirin Service or: Ready for Inspection :
Fee Remitted - $ Cash Check Q M.O. Q Make Payable To: M. D. I.A.
Number of Rough500 ?58 t000 1250 150a 1r50 2000 2250 25aa 2T5a 3Daa
firing Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number A Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
+/ Other Equipment:
MOTORS H.P. 1/2 1112 1110 1/B 1/6 1{4 1/3 1/2 3{4 1 1'iz 2 3 5 702 10 15 20 25 aft 40 50 75 100
Mark Number
of Each Size
Appkicant's
Signature License # Permit #
T/A Utitity :
Applicant's Address : {NAME} OFFICE LOCATION
(City} (State)— �1-+/ (Zip) Service Request #
Phone # Electrician :
a DATE RECEIVED:
DATE INSPECTED :
Correct Location : Same as Above Q or:
Red Notice Label �]
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring & Controls for Amp, Receptacle
Amp, Service Conductors Pump Vent Fans
MOTORS H.P. 1{20 1/t2 1/10 1/6 1/6 114 1/3 1/2 3/4 1 1 2 2 3 5 742
10 1 15 1 20 1 25 j 30 1 40 50 175 1 100
Mark Number
of Each Size
SDO TSD S000 125D 1500 1TSD 2D00 2250 25a0 2T54 30Da
Patrick 3 Dashnaw :t, Heat
F0 Sox 3?
Nuason Falls, rg 12839
518/798-3473
ELECTRICAL INSPECTOR
CERTIFICATIONS USE FOR INITIAL VISIT Q"LY NOTIFIED DATE CORRECTFEE FEE PAID
Q RW Progress : Inc. Q LKD 0 Contractor
Q CFT Violation : Work Comp. Inc. Q
Q L/A Owner 'CASH Q
Q L/A Fee CHK #
Clue MO #
Q IPA Municipal
INV #
Date: Other Side = Utility Applicant 0
Owner 0
Cut in Card Q Temp # Date