1989-374 CER,TIFICT'E C� ' COMPLIANCE
TOWN OF CJUEENSBURY
WARREN COUNTY, NEW YORK
' Date October 5t 19 89
89-374
This is to certify that work requested to be done as . shown by Perm Pr
it o.
has been completed.
s
i
This structure may be occupied as a
�
Luc:riot uhf46 Macey Road
1
Owner John Dowd
By Order Town Board
TOWN OF QUEENSBURY
i
Director of Bldg. & Cade Enforcement
i
w
� x
BUILDING PERMIT "
'G
TOWN OF QUEENSBURY No 89- 374
WARREN COUNTY, NEW YORK '
v
1
PERMISSION is hereby granted to Ca
Y
W
OWNER of property located at ROX 6046 NArry perry Street, Road or Ave. 'a
in the Town of Queensbury, To Construct or place a �TK_._�
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
Q
Q
SAM M
2. CONTRACTOR or BUI LDER'S Name s
GEORGE SAVALE
3_ CONTRACTOR or BUILDER 'S Address
RD#1 Box 325A
Queensbury, N . Y . IM04 C,
4. ARCHITECT'S Name
ION
Ch
5. ARCHITECT'S Address
M
S. TYPE of Construction — (Please indicate by X) G
I ) Wood Frame t ) Masonry ( ) Steel I f
7. PLANS and Specifications
No. 12 ' x 28 ' Deck as per plot plan , specifications , and application .
v
S. Proposed use k Cm"a
as
DECK
$ 24 f1f1 PERMIT FEE PAID — THIS PERMIT EXPIRES slr7nualCy 7 19� —
0f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbu ay of June
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSt3URY APPI. ICATTON FOR BUILDIMG AN17 ZONTNC, PP. RMIT
�'' �� Rear ad fct � TOWN OF QUEENSBURY
'�'Via'� _ .� RECEIVED
Fee Pa.L t ' :K I MAY 3 0 1989
I�UILDING AND CODES DEPARTPIFIIIII Date Tabued LQj 1,212�
I3AY and uAIrrLAND ROAD.I I pox 98 ,y BLDG. & CODE DEFT.
PUEENSBURY , NEW YORK 12804 Ferun.Zt No . !�
Tel . ( 518 ) 792vIII Ext 204
* ! w a * w * * C * * w ! * w * ■ w * w * ■ • * w w s w r w r w • x w
A PERMT MUST U11 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECT16NS
WILL BE MADE UNTIL APPLICANIT HAS RECEIVER A VALID BUILDINC PERMIT .
All applicable spaces can this application must be conipleted and the
sgjvpature of the applicant must ape ear on the reverse side of this sheet .
* ,k * * * X * *
'i' he owner of this property is d
P . 0 , Address /Fate ? C / I' I TEL ,
Property locution TAX MAP
ttas there been any split of this property since October 1 , 1988 ? yes / no
if yes , Planning Board Review is necessary .
LOT NO .
SUBDIVISION 11AME , IF APPLTCABLC _
The person responsible for supervision of work as regards Building Codes is :
jVL 1� y' rz tom_ 59 z. - 2. d
�d .;" 32 .5!)9 �urer,s r ..r '—
NAME P , O , ADDRESS TEL , NO ,
Address Tel
tdame of builder 'n ,ram --- Tel
wzkme of Plumber Sddress
Tel
Name Of Mason
Address
ra.�7URk Ol' C'f;[3P4SL'D h � RK : ZONING INFORMATION ( O -Ii use On29 )
( t7n : cruction of a tauu lauildin7 ; `CONING DESIGNATION OF PROPERTY
{
_Addition to a 13uilaillg * PERMITTED PRINCIPAL PERMITTED ACCESSORY
AlL%zc"Lion to a Luildinc7 REVIEW REQUIRED - PLANNING BOARD ZONING BOARD ^
Jy— ( , to +CII.t11cj. to exc � rjoc C11.111Cf1 :: l.C3llf3 �
/. Gt)tur work (JO Crib&t ) Pej�ocet' S ;Z. 0 * SITE PLAN REVIEW # APPROVED DATE
er re � 2
�" c-rr- r VARIANCE # APPROVED DATE
UkOSS ARI I+ Ot•' I' RD ") SCOL !; T " CI`rURE
lst Floor sq ft . Remarks :
:yAA1A'I _ — sq f t . C(]1wtplaEIII 3pt1'OI:I^'1.' TICu! lcL f1LIIFtL D ii1:L�U4� .
Si•r,a of propIi IL
rty ,�r f X C':)+ F C .
Other Floors sq f It . + Lxi.:tie►el Iyuil,Siat� i :i ) Siyu � g L t }tr _ R.kLjt .
( not collar or basement ) rk
' t
r3r car r
TOTAL P-I AREA 3�sq f t , Lxi:: ci cl oullainc,I OO Use r� i !^ eI
of new structur.r f t X ft
'u+sttd:, cion-picrJ :laL� cra .rl/L�artiaitrull * 3'respa �cd builrsing . di:: canc.: rroatt proi�urty line
(circlu one ) * Fronc yard / IIII,ft Rear yard �7 ft
No , of stories (habitabla sp4ce ) � i ft :and / 3 it
,� Side yaardu J
tl..I ( grade to rider ) ft . * If on corner , :�;ucb:ack from side itruc:t fc
It residuncial , now of families
tao , of root 3tQxcludintj Maths) AP
" QCCU!'AN�Y LNFO[JMIATIp�k
tjo0 of btdrAotnS pRI]4ARY fiUILDINC: aIIIv
Now of b:stliroau►sP<QnQ faa"ly dwelling
c' riowAry huAciiul sry :.`Lu111 r:auLLly dwaslliny
'lyly:: of f ►AQI Mult.iII a]wel"ng / IV+.unber of unitsM
No . of firul71i1CuZT t[} Lx:: 1[IStr411ud » y�NersauAultz occ1 vw4cy
Will wou+.1 %;LOVQ Y,u Ln-: t:allu+3? •
� Y•ri+n::iunt oucuiai.rac:y
L•.:ntrial Air caiaaliticsning '?
* Llusinass
BUILDING STYLC, PRiMA1RY STRUCTURE ,. 1" ndustrial
Gchar
l:wtach Concu+ul.:•c.r:,..ry LC.t`? ca.lain * lti addition , wlaaC will u:.I bI
I:,.tisud ranala aM.:tn;iic.tt I7ul.lux '"
�I� lit II&I old 5cyla: Uu� ta�.alow ""
C;,yu Cod Cott"gy Oclt`r * ACCLSS+oRY 1dwILDII+lG-
Culani.al Iip►tf I`Ouat }l4►lSe �Lta:tiached y:ariagal n4 C�+ 'twocar/ cirr
( CIRCL14 ONE PLEASE ) * Attachuc:l giaragu/0na czar/ two car/ cue'
■ a ■ a a * a S a . a r ■ v IN s r * Priv" Cit.a StOriaga: building
E.OTIMATIiD MARXrlo V A1. 0 E OF
CONL"i` itUC `CIUN * -
INFORAlATTON ON BUILDING SPECIPTCATIONS , ON FtiV'ERSE SIDr� Op '!'ttlS CtIEET„ TO SC COMPLC'I'Eat
Form IdPA 10/88 V1
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 ?
Foundation wall material / Y A- Thickness
Depth of foundation below grade ( to bottom of footing )
Will there be a cellar ? tA6 Heated or unheated ? Floor sil . footage sq ft
Will there he a basement ? it? Will any portion be used as living space ?
( If so , what .portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size , wood studs " X spacing " o . c . length ft . '
Joists ( floor heaths ) lst . floor " x " spacing "o . c . span ft ,
Joists ( floor beams ) 2nd . floor �"x " spacing "o . c6 span ft .
Overlays ( ceiling beams )y A Nix " spacing „ o . cl span ft .
Roof rafters ava" x if spacing o . c . span ft .
Roof trusses (pre-engineA �red) spacing " o . c . span ft .
Exterior wall finish /Y Of what material ?
Interior wall finish
If rage 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 ft .
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.
f
Signature
Ow er, owner's gent, architect, i7l retractor
ON Ar
SPECIAL CONDITIONS OF THE PERMIT :
By
ALBANY 12241 BINGHAMTON 13901 BUFFALO 14203 HEMPSTEAD 11550 NEW YORK 10047 ROCHESTER 14614 SYRACUSE 13202
100 Broadway State Ofliee Buildinq State Office Building Stale Office Building
Menands Hawley Street 125 Main Street 175 Fulton Avenue Two World Trade Center 155 Main Street W. East Washington St.
STATE OF NEW YORK
WORKERS' COMPENSATION BOARD
_ yy THIS AGENCY EMPLOYS AND
SERVES THE HANDICAPPED
I 1k WITHOUT DISCRIMINATION
dd
►� I OFFICE AT
ROBERT STEINGUT STATEMENT THAT APPLICANT DOES NOT REQUIRE
CHAIRMAN WORKERS ' COMPENSATION OR DISABILITY BENEFITS COVERAGE
(Ref : Sec . 57 , WC Law; Sec . 220 , Subd . 8 , DB Law)
Applicant ' s Name 1 tn� E . R . Nov
Address � * Office At
ti l �i'3x_`s
Business or Trade Name , if Different From Above
The above named applicant for permit subject to restriction under Section 57 of the
Workers ' Compensation Law , and Section 220 , Subd . 8 , of the Disability Benefits Law ,
makes the following statement for the purpose of establishing that he/ she does not
require coverage under these laws . t�
1 . Location of work � D� 1 � {' � �' Ac' � 2k cz 10�' L �
r ` ; '7-p
2 . Exact work to be performed Qx,* OVG �W�ksV4 "1 r, LV- '0e "� r `" `* �" aF �•
3 . Number of workers t csf=t-F')
4 . Date work is to be (a) commenced (b ) completed
❑ I have workers ' compensation insurance ( certificate attached ) .
I do not need workers ' compensation insurance because status is Individual
owner or partner with no employees and not a corporation .
❑ 1 do not need workers ' compensation insurance because :
Q I have disability benefits insurance (certificate attached) .
I do not need disability benefits insurance because status is Individual
owner or partner with no employees and not a corporation .
❑ I do not need disability benefits insurance because :
I hereby affirm, under the penalties of perjury , that I am the above named applicant
for permit subject to restriction under Section 57 of the Workers ' Compensation Law
and Section 220 , Subd . 8 , of the Disability Benefits Law and that the foregoing
statements are true .
Date Signed 1!:)� �' / - , 19 ��`--1 �. A- °► ^�
S i g n a t u V eof ApAilicallit
Telephone No . a ,<& ) 723 2 7J 7 Title
TO STATE OR MUNICIPAL DEPARTMENT ., BOARD , COMMISSION OR OFFICE REQUIRING CERTIFICATE
OF WORKERS ' COMPENSATION INSURANCE UNDER SECTION 57 OF THE WORKERS ' COMPENSATION
LAW AND UNDER SECTION 220 , SUBD . 8 , OF THE DISABILITY BENEFITS LAW
Based on the foregoing statements made by the above applicant :
The Board has no objections , at this time , to the issuance of the permit
requested .
Q The applicant will be required to have a Disability Benefits insurance
policy effective not later than four (4 ) weeks after the employment of
one or more employees on each of at least 30 days in any calendar year .
It is to be understood , however , that the Board reserves the right to request revoca-
tion of the permit if , after investigation , it is found that the applicant is required
to have workers ' compensation and/or disability benefits coverage for the work referred
to in the above application .
r :
WORKERS ',, COMPENSATION BOARD
By
Date : cy Ik I
(District Administrator or
Supervisor of W . C . Enforcement)
C-I05 . 21 ( 7-83 )
TOWN OF QuEENSBURY
BUILDING AND CODES DEPARTMENT
BAy & HAVILAND ROADS
QUEENSBURY, NEW YORK 1.2801-
f._..
TELEPHONE ( 518) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE _ fdf
42" GPI r R PERMIT #_ � ` ---
APPROVED
�.� YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFING
BACKFILL APPROVAL_
ROUGH PLUMBING
FRAMING G
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
r
WALLS
C LING
NAL INSPECTION: r`
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH /STEPS i
STAIRS-CLEARA CE & RAILS,��.�,�..�-
PLUMBING FIX RESIRELIEF VALVE
INTERIOR TR ,,+''PRIVACY DOORS
FINISHED F RS
GARAGE FI PROOFING
DOOR CLOS R (S)
SMOKE DE CTORS
FINAL ELEC . ,RICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
AS
INSPECTOR
TOWS3 QF QUEENSBURX
BUILDING AND CODES DEPARTMENT
BAV & UAVILAN EW yORK 12$ f?�
TEOADS
EPfIONE ' . 518 ) 792-5832
TELEPIYONE �
BUILDING INSPECTQR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION PERMST #
DATE �ltk...-. � �"` ` y APPROVED
YES NO
L, .roo!r.rma/PXIWS RJR FORMS
MONOLITHIC P,pROOFSNG
FOUNDATION/D
BACKFILL "'PPR6VAt
ROUGF! PLUMBING
'%4 FRA14I"NG��
ELECTRICAL ROUGH
rNSULAT.TON:
FOUNDATION
Fx,pORS
WALLS
Cr-rLING
FINAL INSPECTrON :
CHIMNEY' HEIGHT
ROOFING J
SIDING S PSG
EXTERNAL PORCHES/
STAIRS^CLEARANCE , & RAILS -
PLUMBING
ING F LVE
F I � �--
LUMB IOR TRIM/PRIVACY DOO
INTE
FINISHED FL40O SIFING
GARAGE F
DOOR CLOSER (S) -
SMOKE
ELECTRICOLSPSI�INSPECTION
N
F CONSTRUCTION
.FINAL APPROVAL OF
T BE
A SIGNED CERTIFICATE OF
THE 'BUILDING DEPART MEN BEFORE
OCCUPANC
OBTAINED FROM
THESE PRSMISES ARE OCCUPIED "
REMARKS :
�a
zNSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
13AY 6 HAVILAND ROADSQUEENSBUR �y
TELEPHONE y+ NEW Y 04—
(5I8 ) 792- 5832 J
BUILDING IP3SPEC row S REPORT
REQUEST FOR INSPECTION R E D
NAME .'' < ,tr
LOCATION e�r r�
DATE J ` /� PERMIT #
,APPROVED
t a C YES I No
FOOTINGIPIERS
MONOLITHIC POUR FORMS
FO DATIONIDAMP—PROOFING
CKFILL APPROVAL
ROUGH PLUMBXtfG
FRAMING
ELECTRICAL RO H—IN r
INSULATION:
FOUNDA TION�
FLOORS
WALLS
CEILING
FINAL INSPECTION: v` ..
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHBSISTEPS
STAIRS—CLEARANiCE & RAi .
LS�_,
PLUMBING FIXTPRESIRELI� VALVE
INTERIOR TRI€'RIVACY D6(7RS
FINISHED FLQpRS
GARAGE FIRE#ROOFING
DOOR CLOSER 'S) — --
SMOKE DETEqVQRS
FINAL ELECTRICAL INSPECTION —
FINAL APPROV#3L OF CONSTRUCTION
e
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
ING DEPARTMENT BEFORE
OBTAINED FROM THE BUILD
TfIESE PREMISES ARE OCCUPIED!
REMARKS :
4
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 3280g
TELEPHONE (51.8) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCA TIO ,
DATE �7
J��-___-��-€'ERMIT # /
APPROVED
YES NO
DOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING r
BACKFILL APPROVAL
ROUGH PLUMBING '
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING Ike
EXTERNAL PORCHESI� BPS
STAIRS-CLEARANCE rS RAILS .__���
PLUMBING FIXTURE /RELIEF VALVE
INTERIOR TRXMIP14YVACY DOORS
FINISHED FLOORS;♦
GARAGE FIREPROgFING
DOOR CLOSER ( S) I
SMOKE DETECTO S
FINAL ELECTRICA _INSPECTION
FINAL APPROVAL F CONSTRUCTION
A SIGNED CERTI ICATE OF OCCUPANCY MUST BE
OBTAINED FROM r�MF BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMAR/K5:�{y' sI
INSP TOR
1
_.y� 4P:•]h nw611:•.R+Y.M lot444
'4.Ir
11 _ •, } .{
' ,.ram �`+ � •�.� 1""1 '.�« ......- - .�1-��
„ .. ����.1jja� '�� 1F"Tr �*� - ^""�1 -� "�": f+ �'s •Zg �S - � "' .
4;:
1 .
27
e
s frlf
#
j / F
r�i l °� r Sri f y ti zS
li�T ,
r
S?1G7 YN
���yy� ylllrk r7 J 4 t a of rL
wr
f
1 .i1 z3� ^"44
7 r %#
I IL
-ry 1 rSvc tw>
1
� � ,ry�. rop L. ,�•�ak�
..
a { f r41 111. 1
114
Or k
a .1F
04
IP
f �
.fJ'n " 1l 1v _ P.
LL
gy yL LL
3
A/ ! r � l
FN
ry.�Y ; ' .' u_m' .,.�lY...�' •�Y . . `r! 7Lrl
l �.. ._ w .I .i ...� r Y a t d°Y '.:
f • " � r .. '.�..._.' '...' .: . '� - • _ t .+'{ !r ' '� i �, k 'fir,?
F.
�ol
....a
LAI b ! L L L. F I kL L L4 {
~�
P.311w"IF
,fl' l k ,a
7977
I r
7
#�
. s' ter"• �✓`' iIrr'11�y 4q�'
UU/� � .. l`�+y dry o o #VAA■�O F � �� ��x 1�•.
fi
�.
a l�z S
u ,
'V N. 'd .I. 't' 15IAF
�f .
jL IF ly
F.
lk
XF
.iYr .F r 'a qy •k "ti : i a';;
...' m It .'. . ' �. "M ..'I:'
A at VO
"Taa� � � � fi� g
����
�� x � ti �����^��
r i
__ __ ,�
- - �� �
� ,
��
,.
: ,
, .
l �_
• `,
r"
(law
TOWN OF Q +UEENS B UR Y
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
FILE
.Tune 1 , 1989
Mr . John Dowd
Nacey Road , RD# 1
Box 1646
Queensbury , NY 12801
Bear Mr . Dowd :
Your application for a building permit for a 12 ' x 28 ' deck cannot
be processed until an area variance is obtained from the Zoning
Board of Appeals , and site plan approval received from the Planning
Board .
Enclosed are those sections of the ordinance pertaining to your
proposed deck .
Please contact me so the proper paperwork can begin .
Very truly yours ,
r
f •..'
Patricia Collard
Zoning Administrate
"HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE"
SETTLED 1763