1989-395 _ r: :..��"�:�'.,£'.,'.'a.':qv q.. :*6';ak' 5x[..w.rye...._ .^.,...o� �,..•,,... . ,.- Rr._.w- r . ..wee .. _
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47
� 1 k
f r CERTIFICATE ,,� OF C CUI'A1"�3�Y
f TOWN OF QUEENSSURY
E
WARREN COUNTY, NEW YORK
Date August 3 19 90
1" 35
This is to certify that work requested to be ,donne as shown by Permit No. s�o- roc
has been completed.
This structure may be occupied as a Addi ti nn to flwp3 7 i na A Tw► r_Ar gage
�36- EGX Road
E
David A Melanie Wrye
I
By Order Town. Hoard
€ TOWN OF QUEENSSURY
Director .of Bldg. & Code Enforcement
i
E
I
-.I
BUILDING PERMIT
TOWN OF QUEEN5BURY
No. 89-395
WARREN COUNTY, NEW YORK
cm
t'
PERMISSION is hereby granted to DAYID A MELANIE WRYE
OWNER of property located at 3 FOX ROAD Street. Road or Ave_
in the Town of Queensbury, To Construct or place a ADDITION TO DWELLING St TWO GAR GARAGE
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
fy'
SAM r
JfU�L G
Pa
C
2, CONTRACTOR or BUI LOER"S Name i0
SELF
3. CONTRACTOR or BUILDER'S Address 7
SAME 1D
4. ARCHITECT'S Name
5, ARCHtTECT'S Address
t7
YL
6. TYPE of Construction — (please indicate by X)
S 1 Wood Frame S 1 Masonry S 1 steel S I
r
7. PLANS and Specifications
No. 24 ' x 38 ' addition to dwelling and two car garage as per plot plan ,
specifications , and application _
x
8. Proposed Use �
Addition to Dwelling and Two Car Garage n
a
r
C
$ 59.OD PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 90
I I f a longer period is required an appIicetion for an extension must be made to the Building and Zoning inspector of the sO
town of Queensbury before the expiration date)
a
Dated at the Town of Queensb s th ay of June 1989
SIGNED BY ��L ^� for the Town of Queensbury
Building and Zoning Inspector
W
^S
TURN OF � UEENSBURY APPI. ICATTON FOR BUILDING AND zgNINc PuRr( IT
1'`.z t c-
Pec Lev tT
Rev.% � Q
Per RFCE��pNseUR�
Fee Foiid fi - JON
BUILDING AND CODES U( :1 AKWENT Date L6.6ued '�'00. 40
70Q9
BAY and NA V,TLAND ROADS RD 1 Box9 8 � 0
PUEENSBURY, NEW YOPK 12804 Pe1U► it NOW
Tel . (518) 792-5832 Evc -204
.• .rr r r r of • r .t i w w w r IN IN R r x ■ r * w w • r r w a s R • • • w • r
A l' !~ I�iITT MUST P>] OBTAINED BEFORE
WILL CONSTRUCTION . NO INSP1iC'ri6NS
WILL BE HADE UNTIL APPLICANT HAS RECEIVED A VALID BL' IL.DINC PERMIT .
All applicable spaces on this application must be conLpleted and the
4 ; l• natur of the applicant must appear on the reverse side of this sheet .
ri X /i c * * * * ve ar k !e k * * * ar YC 7 G * * k
oil ]ze owner of this property is : ,,4,2AUlb jr MIEL.An11E W VIE
1' . O . Address 30 Fo X RA ,ram gsa rae"S au R�Rj T E L . ?9 SI l
Iroperty location .3't`3F-eaxF?d f iAgyu'rr IZa q TAX MAP
s'r
llas there been any split of this property since October 1 ,
yes » o
if yes , Planning Board Review is necessary .
SUBDIVISION NAME , TV APPLICABLE CiAecc,ff[ J! F LOT NO .
The person responsible for supervision of work as regards nuilding Codes is :
_ TEA +J Fca A $ -
NAME PwO . ADDRESS � TEL . NO .
Name of builder D,A1gip u : rcvF Address 3c} Fcix i� Tel 1? 3 q - -
t4 ame of PlLmsber ?.ddress Tel
Name of Mason714+3rC3 LS} F��I E Address_ Cl Fib x 6c�c 'i`el 79 3 �)3 �1 ,� I _!
14ATURC OF PROPOSiCD hORK ' ZONING INFORMATION ( Off -ice use only )
Can ;truccior� or a new building =Qojb!C D'_ST_0NATION ns nRnptR"!•5t
-.><Ad.xicion to :a buildirxg PERMITTED PRINCIPAL PERMITTED ACCESSORY
AILL:Cation to a LuildiaO `
(rao ciL:unaju to a:xc � rior rl ianon:: ions]
: REVIEW REQUIRED - PLANNING BOARD ZONING BOARR�
Otlwut work (4a: icr-ibo ) ` SITE PLAN RE VIEW 4! APPROVED DATE
GROSS AREA OV pRQLaOSED% � TUUCTURE
VARIANCE # L APPROVED DATE
1st Floor 33 ,tc sq ft . Remarks :
- - Who
—
3 nd Floor sq f t . w CapjPf L''TE I,N4'044vtATION to UIhL:D UL LL61 .
EN�'x7GE 0 Sieu of prOLJ4,� rty oZ f 9 tit X 1 35 ft .
Ocher Floors ���+ sq ft . * Laciz;U111'j )�uilalir «j ( =% ) Six` 3ca L° L X :3n rt .
( not cellar or basement )
TOTAL FLOOR ARGA�, / L sq ft . # ixi :L illg L]uilainaj ( :.: ) Usk: avq
'_: iw.4 of new structur.: ft x3S ft " cJ
1 oLusd:ation-pier aL craw lzareiul/ Cull ' Yrapo::cd builuing , di :tancu rro�ar iara7l+a: rty lir«
c.crc as O ) Front yard 3 $ f f t Rear yard 1' rf f t
No . of . toriea (h:�ab.LLL&bla: <rl�racc } �_ ct
11.=igYat ( cjrlda: to ridcjaa ) f 9 gt , . Side yard '37 rt and
It on cornar , ::uCb.-ack from s1dv !itral:t r` c
If rosjdaantial , nos of f;amili.c :1
No * of room*itexcluding baths, OCCUPANCY 1NFORJOATICN
ILO. of Utdrooalas # PRIXNRY DUILDINC
NQ . Of �1:LGY1rC1G111`r' * 'Ona fancily dwelling
Primary his;aCiaktj uYULvI1a 45Igg + 'L`wo family dwelling
Typia of fual ion vlwulling / Nutaber of units
No . of fireplaces to fao i=a :t:alla:cL ' 14erua:.Lac11t Occupancy
Will .a %400 .L tiL' OVQ Lu ifi`r L":alla.:d7 'r
Translunt Qt:CuVallc:y
Cwntr:al A.iC cof4d1tionIfLCj? NO L uglnusa
BUILDING STYLC, PF21tvlARY Sl'RUCTURE ,. lnduscrial
Other
1c.Aicla C`,C?n%5j diJLiGr..aYy Lr,[a cabin It :addi.tion , what will us.: ba:?
I;.a .is.:tL rnracla M:an�ia�n puLAlwx '
:1L11i. t luvol Old ucyla lauraajalow
C . a Cod Coct:.ago OtLu:r " ACCRSSORY bUIL.DING-
(�4�"oionial Lcar1 iowi � Clouse " Uetachacc yar:atjc/one CUC/ two czar/ czar
{ CIRCLE ONV FLkASE ) ' ss.,C.Attachwa U arU9u/orlar car/ o ca
• a r r a r w 1r r • • r ■ r as ■ w 'r J'riv,:at4 $tor:agQ building .
U "UTIMATED MARVCEI' VALUE? OF Ocha: C
CON tor Lt u c'L' T U N '
INFOr'.ALATTON ON DUTLDINC gPrCTFICATTON'S , ON R>EVRRSV STDF. OP T11T5 C112 r, TO BE COMPLG'rVQ1
Form FPA 10/88 V1
BUILDING PERMIT APPLICATION COUTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe etc . ,wooer 4::7 -
Will any second-hand or ungraded lumber be used? If so , for what?
Foundation wall material � IGS � Thickness 9� II
Depth of foundation below grade ( to bottom of footing )
Will there be a cellar? Heated or unheated? Floor sq. footage sq £t
Will there be a basement? Will any portion be used as living space?
( If so , what port sq . ft . - - Type of ,use?
Type of roof - slope flat/shed/other Material of roof $ rAJ( /4FS'
Size , wood studs " X NO
spacing "'o . c . length ft .
Joists ( floor beams ) 1st . floor " X /0 ON
spacinq.A "o . c . span j _ft .
Joists ( floor beams ) 2nd . floor r - "' X NO spacing — "o . c . span - ft .
overlays ( ceiling beams ) "X `" spacing " o . c . span ft .
Roof rafters_ "X_�" spacing . c . span ft .
Roof trusses (pre- engineered) spacing " o . c . span ft .
Exterior wall finish If CECVV C&Aejgj&of what material ?
Interior wall finish IAL SHEer emQCk
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?YCS If so will a Fire-rated
door , enclosure , and self-closing device be provided? qqes _
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 .
CA separate application is necessary for any repair or new installation of septic system)
D E C L A R A T 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 i" Ad!A52
Owner, owner's agentjoirchitect, contractor
SPECIAL CONDITIONS OF THE PERMIT :
By..................-- _-- ---....------ _ _--
THE NEW YORK BOARD- OF FIRE UNDERWRITERS I'A''fE 1
BUREAU OF ELECTRICITY
dl STATE STREET, ALBANY, NEW YORK 12207
Bate .'il.: (; i; ,; T l.' II '' `)ri .4 enn'VO- onfileIr_• 'i $ `? .'" `�1
THIS CERTIFIES THAT
only the electrical egt&fiement as described bef ne n tmad on the above appf ration number in the promises of
I)AV11) i+`PYL 30 FE'3_`+; RI) ,
in thefolimvinglocation; ❑ Basement �Ist Fl. ❑ 2" FI. '.` iIt Section Block Lot
�l ✓C z T U3 . 1 '! M (,
woo eza■nined an and found to be in cornpliance with the reguire.nents of this Board".
FIXTURE I!RECEPTACLES S1AttTCHES FIXTURES RAHMS COOKING DOCKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FWORESCENT OTHEfi AMT- K. W. AMT. K. W- AMT. K.W. AMY. K. W. AMT. H. P.
7
DRYERS FURNACE (MOTORS FUTURE APFUANCE MEMOS ISMCIAL RECOPTJ TIME CLOCKS I OCLy I UNIT HEATERS FA SYSTEtASTLET OILIIiurEERS
AMT- K. W. OIL H. A. GAS H. Y. AMT- NO, A. W. G. AMT. Amp. AMT, AMPS. TRANS. AMT. H. P. NO. OF FEET AMT. WATTS
SEE1110E DISCONNECT NO. OF S E E V 1 C E
11
AMT. AMP. T'rtE 1 X �1N + X 3Mr S Af 9w 8.e 4W '' R XcaNa. OF CG COMO. PK3. Of HMEG Op'IiiIEG HO. OF NEUTRALS aP NWE- IAL
OTHER AFTARATUS:
011 Fl} II) .
BRANCH MANAGER
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAHMER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
OUEENSBURY, NEW YORK 2280k
TELEPHONE ( 528) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST PPR .INS .+ CTION RECEXVED Qb
IL
NAME
LOCATION
DATE PERMIT }
APPROVED
YES NO
FOOTING/PXERS
MONOLITHIC POUR ORMS
FOUtVDATSON/DAMP ROOFING
BACKFILL APPROV
ROUGH PLUMBING
FRAMING
ELECTRXCAL ROI7G IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION.
CH'XMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE TOPS
STASRS-CLEARANC & RAILS _...
PLUMBING FIXTUR /RELIEF VALVE
INTERIOR TRIM/P ACY DOORS
FINISHED FLOOR -
GARAGE FSREPR FX G
DOOR CLOSER CS
SMOKE DETEC S
FINAL ELECTRIC 0 INS ECTION
FINAL APPROVAL OF CO TRUCTION
OK To ISSUE C OR C
A SIGNED CER FICATE OCCUPANCY MUST BE
OBTAINED FRO THE BUI XNG DEPARTMENT BEFORE
THESE PREMISS ARE,sOCC IEDI
REMARKS: +
1 ;
i
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
SAY & ,HAVILAND ROADS
12$ f3�
QUEENSBURY. NEW
RK
TELEPHONE 5 $) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED _.�_._..---------
NAME
LOCATION
DATE PERMIT # e "_--
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP- FROOFING��—
BACKFILL APPROVAL
ROUGH PLUMBING
GAMING '
ELECTRICAL ROUGH—TN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST —
STAIRS—CLEARANCE & I F VALVE
PJ'LUMBXNG FIXTURES/RE
INTERIOR TRIMIPRIVACY DOORS -
FINISHED FLOORS — —
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INS ECTI ON ~—
FINAL APPROVAL OF C NSTRUC
A SIGNED CERTIFICATE OF OCCU
NCY MUST BE
OBTAINED FROM THE BULDING DE RTMENT BEFORE
I
THESE PREMISES ARE OCCUPIED !
REMARKS-
I �
"INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAN ROADS ,/ - 7
QUEEN$BURY, NEW
W YORK 3 28Q+1b �/ y'F�,'/ ,r/
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECE3'VED
NAME
LOCATION
DATE — PERMIT #
APPROVED
YES NO
FOOTIN SERS
MONOLITHIC POUR FORMS
.DATTON/ FNG
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
Fs'.LECTRICAL ROUGH^ N
7
INSULATION:
FOUNDATION
FLOORS f`
WALLS '
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/" fiEP
STATRS—CLEARANC !G RAI
PLUMBING FIXTU S/RELXE VALVE
INTERIOR TRIM RIVACY RS
FXNXSHED F S
GARAGE FIRE OOFING
DOOR CLOSE (S)
SMOKE DET TORS
FINAL ELEC ICAL INSPECTION
FINAL APPR AL OF CONSTRUCTSON
A SIGNED 4RTXFXCATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED.!
REMARKS:
INSPECTOR
r
TOWN OF QuEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND R yoRic OADS
QUEENSBURYsNEW
? 92-5 I28
TELEPHONE (518 )
832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEYVED fGr �
NAME
LOCATION
DATE .// PERMIT # u
APPRt7 ED
YES NO
;,/FOOTING f PIERS FORMS
MONOLITHIC pOLTRF�TNG
V-FOUNDATIONI DAMP- a=
BACKFILL ,APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULA.TYON:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: ?'
CHIMNEY HEIGHT^ -�—�
RO7OFINGr_
SIDING
EXTERNAL PORCH S/STEP
RAX
STAIRS-CLEARA ISSI
GE &RELIEF VALUE
PLUMBING FIX PRIVACY Poo
TR /
FINISHED F IRS
PROOFING
GAPAGE FIR
DO:1OR CLOSE f S
SMOKE DET TORS
INSPECTION_ �
FINAL ELEC ICAL AL 4
FINAL APPR AL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED
HAW D FROESTBUILDING DEPARTMENT BEFORE
ARE pC PIEDI
REMA RIGS s
INSPECTOR
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP N DATE
CITY OR VILLAGE ,..L IOWNSHP COUNTY
STREET AND NO. OR ROAD POLE NUMBER
BETWEEN WHAT Twp GROSS STREETS IS PREMISES I-OCAO"ED7 SEMION - BLOCK LOB' '•
OCCUPANT'S NAME BUILDING OCCUPANCY
'S NAME AND ADDRESS _ . - y Ii j I UMR
t4 I
CV RENT SUP��LLIEp ey FROM THEIR OFFICE WORK TELEPNQNE NUMBER
rt 171 C7
BUILDING 15
NEW OLD ❑ oil WORK 15 NEW AODITIONAL ❑ DEFECIS REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No. of Fixtures & BRANCH OFFICE USE
��- Lamp Receptacles MOTORS HEAI`ERS CIRCUITS ONLY
tiDn Side ArtacN't H_P Wens A W.G.
Ceiling Wall Fiecep'Ia 'Switch Pendant Bracket Na Type Each No. Each No. Gauge INSPE1171I0N
SIDE
SIDE
SUB-
BASE
EASE-
MENT
ten y � ,ry
2nd
FL"
3rd
FL.
F4
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH AeDVE.
`J+•�
THIS APPLICATION IS INTENDED TO C..OV1FR THE ABOVE-LISTED EQUIPMENT TO 13F INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT, AS PRO'1)/IDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECM C S*NSA.AMPS TOTAL NAM
CHARAL7ER OF WORK f❑� EXPOSED [➢AgU TUBE SIGN TRANSFORMERS OF yq
IJ CONCEALED
DATE NARK TO 13C SL ED D+a'E COMPLETED SIZE OF SIGN(NUMBER) CARACITY
SERVICE ENTERS ami-OING MAN UFACTUREfi OF SIGN
❑ CN'ERNEAD ❑ UNDERGROUND
DATE INSPECTION REOuE..S'I'ED ON {OR AS NEAR AS POSSIBLE} SNUST
meNTWmAm" mommm
A KXID INIMAYS BY GIVING FULL AND ACCURATE INFORMATION- ALL SPACES MUST BE FILLED IN OR APPLIWION MAY E11115,1RETURNE57A
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION $IQtL7ilRE (7iF�,y�pKJWTiC
r �.: 6 t LTZ%..�' Ii,,,,'U6`3tjwe
STREET ADDRESS ((� TELEPHONE NO./
C}TY OR POST OFFICE ZIP CODE LICENSE NO" WHEN APPLICABLE
(h'0 e�'C,t.s, ice_}kj ;z A"'V l�
❑ 85 John Street ❑ 41 State Street O 584 Delaware Avenue C7 217 Lake Avenue ❑ 202 Arterial Road
NEW YO,N,
NY ALBA 10038 -flY 1220-7 I BUFFALO, NY 14202 ROCHESTER, NY 14608 + SYRACUSE, NY 132W
TF NE�C7RK BOARD OF FIRE UNDERWRITERS
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TOWN OF +QUEENSBURY
Zoning Administrat r
Date
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