1988-855 -�
,- CERTIFICATE, OF. COMPLIANCE
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
- Date May 7 19 90
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This is to certify that work requested to be done as shown by Permit No. 88-855
has been completed.
This structure may be occupied as a One Family Dwel.11nc w/Srreenerl Pnrrh
Location 6 Amy Lane
Owner Norman Cohen
• By Order Town Board
__.;..TOWN OF QUEENSBU.R.YY
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Director of Bldg. do Code Enforcement
-• - 3 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-855
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Norman Choen
OWNER of property located at 6 Amy Lane Street, Road or Ave.:
\
in the Town of Queensbury,To Construct or place a Addition/Screened Porch
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
32 Beaumont Circle
Yonkers, New York 10710
2. CONTRACTOR or BUILDER'S Name o
x
Scott West
XXXXXXX.P.XXXaLla KINKK RXIXK XX Dna XYREIT
3. CONTRACTOR or BUILDER'S Address
5
10 Easy Street
Glens Falls,New York 12801
4. ARCHITECT'S Name
rn
5. ARCHITECT'S Address
ro
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 18' x 16' Screened Porch as per plot plan, specifications, and
application.
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8. Proposed Use
One Family Dwelling w/Screened Porch N
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p
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10.00 C/C
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1989 co
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
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town of Queensbury before the expiration date.) 0-
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Dated at the Town of Queensbury 2nd Day of November 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
/ .
TOWN OF (Ai f`;F 9¢ 17—
,lawn
Of :QueeaJbur J'
ram' ;i
BUILDING and ZONING DEPARTMENT 6 q (// e '
Bay and Haviland Road,R.D. 1 Box 98-. ,J
Queensbury, New York 12801. . :., • op
- APpr ved b
APPLICATION, FOR
BUILDING ;AND -ZONING PERMIT .., �Ep
* * *. * *:* * * * * * * .•*:* •* * * * * i • *. * *. * .* * * *. * .*• * * * * * .*. * *:::*
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 ihr,4, '�45 00 Nr� '`n CO\A.' n' ... -
P.O. Address 3,2 g ect Lk.nl OC1-1 Circle.. . 16. me vs , Y•I 10 710 Tel.F/Y'6345. -'4S S}/ -
Property Location. - tp ,nmy 1-Ague Tax Map' No,la I / 7 'C
Street number or building lot number: •
Subdivision name (if applicable) >.:
THE PERSON RESPONSIBLE. FOR SUPERVISION _OF WORK AS, REGARDS..BUILDING •CODES- IS :. „ , , I. ;
Scat fvPJT /6 EG --.s i . . i/e r,s. ./.. . . . C
- . ;.../2,8-0 f- :- -� 3-" y�Y3 .r..
Name P.O. Address ' • - Tel: 'No.''
Name of builder 'T Itu)esT Address m bS sl- la. - Tel. �s y6 3 ' _
Name of plumber Address . . Tel. .
Name of mason . 5 in e . Address Tel. .
NATURE Of PROPOSED WORK; * .__.. ;•: ZONING INFORMATION:
_Construction of a. new building '* TWO PLOT PLANS MUST .BE°PREPARED AND SUBMITTED,
Addition to a`"building r drawn reason.bly 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. Giv,,:,,
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner. lot. Show location.
4.
LOCA'1'IUN OF STRUCI'U12ES 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 It g ft X .ft. • •
PROPOSED BUILDING' AND USE: ,
' * Existing building (s) Use ,, .S•? I r ;hi
Size of new structure ii ft X /67 ft 4' uiPl/l t
Foundation-pier/slab/crawl/partial/full * Proposed building, distance`from property line
(circle one)
No of stories (habitable space) f * Front yard ft Rear yard ft
Height (grade VS'ridge) / c ft. * Side•yards ft•and ft
If residential,' no. of families / * .If on corner,. setback from side street ft
No. of rooms(excluding baths) ' / * OCCUPANCY INFORMATION. •.
No. of bedrooms *,..
No: of bathrooms -: * PRIMARY BUILDING
Primar heatin *. One family dwelling
Y -
: g system
Type of. fuel _ *• Two family',dwelling -
No. of. f replaces. to. be installed * . Multiple dwelling / Number of units •
Will a wood stove be installed?
* Permanent occupancy .
* Transient occupancy
*. Business
BUILDING STYLE, 'PRIMARY STRUCTURE *' Industrial' "•
Ranch Contemporary * Other
po y Log cabin * if addition , what will use be?
Raised ranch .Mansion. , Duplex _ , . •. ...
Split level .Old style Bungalow * S��PP,u P �ot-c�.
Ca d Cottage Other .. * ACCESSORY BUILDING-' •
Colonial . . Row : Town House :-*' Detached garage/one car/ two car/ car,
- CIRCLE .ONE PLEASE )-:.. . . ....- * Attached garage/pne car/ two car/ - car
* * * * * I` * * * * * * I * * * *. *_ Private storage building -
ESTIMATED MARKET .VALUE' OF * +Other - 4`
CONSTRUCTION $ lv006
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET,- TO BE COMPLETED!
Form BPA 4/86 and-vl
•
BUILDIIIC PEIMI'T APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS: ..
Type of construction, wood frame, fire safe,etc. d'�( ,/LC),.;rc-C
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation all material ,e Aj) - Thickness J /O
Depth of foundation below rade (to bottom of footing) '1/'
Will there be a cellar? — Heated or unheated? (),,s Floor sq. footage ,,9 $$ sq ft
will there be a basement? -y1,0 Will any portion be used as living space?
(If so, what portion? ,V c- sq.ft. - - pe of use? Paves
Type of roof - sloped/flat/shed/other c4,P z Material- of roof. -2XLp /C. " ,� 'rz c-n�
Size, wood studs Lj"X " spacing "o.c. lengthg ft.
Joists(floor beaus) let. floor rvvtan ► " spacing "o.c. span ft. .
Joists (floor beams) 2nd. floor "X• " ,spacing "o.c. span ft.
Overlays(ceiling beams) a "X (D " spacing /4- "o.c. span ft.
Hoof rafters ,.. "X (/, " spacing /(, o.c. span /b- ft.
Hoof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish CJIAAA IAA c r A,'4if what material?
Interior wall finish iN r ,vr' ;--
If a garage is to he.-alIached, b naterials to bin d . .or-FIR SEPARATION:
Is there,-to be an openin _,b tween garage and dwel--1ind? --red ftf o�-i-ll e Fire-raced
dooms enclosure, and—self-closing device beyprovided/1 I
--Will a flue-l�r ed chimney be installed? 'Hei9 fit/ b( of f t.
Depth ofhrmney foundation below grade ft. /7 ,,ill
Depc�f fireplace hearth _!-ft. in. .r-''-
r
w'a-ter supply - Municipal—or private well.--- //
SEPTIC SYSTEM _ Dis •
tance from ANY private well(incl9ding djoining properties ft.
(A separate application is nece ary for any repair new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County or 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 done ion 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 '1'O BEFORE ME '1'IIIs Signature_,i -dheLG- _ = -.
& _ Owner, owner's agent,architect,contractor .
20 day of CV-el& 19 in-
Notary Public, Warren County, N.Y.
a a a a * * ti * * * * '* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED_______________/)
NAMEr/-Jj�
LOCATION C! .d."26v
DATE PERMIT #
/� r APPROVED
l/6Uf. eX) I YES NO
FOOTING/PIERS J
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL j
ROUGH PLUMBING fl141
FRAMING ,•• i •
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION •
FLOORS
WALLS I,%
CEILING _ I_ f
FINAL INSPECTION:
CHIMNEY HEIGHT \
ROOFING
SIDING I,/
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS '
PLUMBING FIXTURES/RE IEF! VALVE
INTERIOR TRIM/PRIVACI,DOORS IJ
FINISHED FLOORS ebj
GARAGE FIREPROOFING V n f
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION:
FINAL APPROVAL OF CONSTRUCTION
i�.
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! 'e
REMARKS
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INSPE TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS i/ ;)
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED, �I// 1 D O
NAME --- / 1 Q/I� Cie ('/U ,
LOCATION 4 i29 # C/��,
/(
DATE - - 0 ERMIT # 61-,rS-3----
� �,✓/ � APPROVED
�- el f.l lei YES NO
JTING/PIERS
MONOLITHIC POUR FORMS l/ \
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ,j
ROUGH PLUMBING /I
FRAMING /
ELECTRICAL ROUGH-IN //
INSULATION: /J
FOUNDATION& A�'/
FLOORS /
WALLS N'KN /I
CEILING \ X/
FINAL INSPECTION: :y
CHIMNEY HEIGHT
ROOFING /.
SIDING /f ',;\
EXTERNAL PORCHE57/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED F OORS \,
GARAGE FI'I'PROOFING
DOOR CLO ER(S) X
SMOKE DETECTORS
FINAL ELEQITRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION " '
l
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
IP; )1
INSPECTOR
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