93-508 �;.
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date De,604 /4 19 f3
This is to certify that work requested to be done as shown by Permit No. 93-508
has been completed.
This structure may be used as a attached o car garage
Location Ridge Road
Owner James Johnson
52-1-50 . 4 By Order of Town Board
TOW OF QUEENSBURY
Director of Building & Code Enforcement
cD
3. CONTRACTOR or BUILDER'S Address co
4. ARCHITECT'S Name
5. ARCHITECT'S Address
4
(D
O
6. TYPE of Construction—(Please indicate by X) A�
(x)Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
24 ' x28 ' Two Car Attached Garage as per plot plan, specifi-
No. cations and application.
rt
8. Proposed Use
Two Car Attached Garage
m
H
$ 35 .00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 7 19 94
(If 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.)
7t12. September 93
Dated at the Town of Queensbury this y 19
SIGNED BY for the Town of Queensbury m
Building and Z ni nspector
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT 1 left(BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. 9-3 - 50C?
(518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
OWNER OF PROPERTY: ,Jim Johnson
Mailing Address : HHCO Bdx 31A Queensbury, New York 1.2804
Telephone Number(s ) : Work Home 798-5013 Other
PROPERTY LOCATION: Ridge Road
Tax Map Number: Section 52 Block A Lot 5D.4
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 7,000.00
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: Garage PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR A72 SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. Garage
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 672 SQ. FT. X Attached Garage - One/TwoCar
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
24 FEET X 28 FEET
Foundation Type: 10" block or 8"pour Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) NO
Height (grade to ridge) : 12 feet Type of Heating System: N/A
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: N/A Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO_ BUILDINGCODES IS:
Michael Eddy
NAME OF BUILDER/ADDRESS/PHONE: Eddy Enterprises Inc. Athol, NY 623-2766
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE: Eddy Enterprises Inc. Athol, NY 623-2766
NAME OF ELECTRICAN/ADDRESS/PHONE: Willi amg F1 artri r Lake George, NY 668-4080
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being i sued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of jec c o jr i es .
Signature
(Owner, owner s age t, archit ct, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
l.UP1PIV1V wr.AL In GLGl.11l11.HL 11VJrr.l,IiVrV Jr.Kvll.r.,11111..
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
•
'anel Board No. Cert. N° 3 0 7 6 0 Cut-in Card No...
)wner
•
)ccupant j� •
Mcation ....1.\ D A 4,/�
?c,trZ J
nstallation Consisting of...5 Sky re kf /6 £t-ce
cg12A-6
nstalled By ! t7 C i (5 Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
;sued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
he introduction of additional equipment or alterations, application shall be promptly made for
ispection.
Inspectors of this Company shall have the privilege of making inspect' s at any time, and if its
ules are violated,the Company shall have the right to revoke this . rtific• .
)ate /O / INSPECTOR
Member N.F.P.A.,I.A.E.I.
l.vO11Vv1V WVL't1L 111 GLGl.,1 All.ttL 101 ar Gl.11V1V JG1lV1l.G,11111..
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'anel Board No. ' Cert. N° 30 7 6 6 Cut-in Card No.
)wner i ' SO
)ccupan t
_ovation ... C�..PG&- RP- (C(C-�Z
nstallation Consisting of ''/ re/4 lU 2e-ce-Ae-
nstalled By I / Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
ssued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
he introduction of additional equipment or alterations, application shall be promptly made for
nspection.
Inspectors of this Company shall have the privilege of making in ions at any time,and if its
ules are violated,the Company shall have the right to revoke t s ce tfi • e.
)ate /v `i�- !3 INSPECTOR�� .l... ..
tuber N.F.P.A.,I.A-E.I.
TOWN OF QUEENSBURY U"ram
531 BAY ROAD
;/1 ' QUEENSBURY, NEW YORK 12804
`%-�� TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
"FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME �^
q N5bL
LOCATION ?t4( 1�- �d /.0 s, '�,��f.t
DATE /o/3 ,F,Y PERMIT# 9 -32/
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING 'IOUNDATION ;�BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS -/pz4,G Cam( - Lroc_(
APPROVAL
N/A . YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING P
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C �--`
COMMENTS:
ARRIVE o2;/a t
DEPART /--C
INSPECTOR
Ncl;)etre_.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST F I PECTION RECEIVED rj
NAME
LOCATION
DATE P RMIT # "2 a.
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
45bUNDATION/DAMPROOFING
yACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN ,4
INSULATION:
FOUNDATION WALLS INTERIOR {-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 9) �- /
DEPART /W 1r
INSPE'TOR
TOWN OF QUEENSBURY /11,—
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED &V,
NAME
LOCATION Aye/ /eX
DATE 044_5 PERMIT # )22
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL � r(14,(
ROUGH PLUMBING I`
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 3;24)
DEPART 3ld
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST F INSP TION RECEIVED GJ�j y4.3
NAME /{'', "{-�` '--
C. "'LOCATI �� 1 0 /�c.c�� Q' �"�r F.c, ,/'�
DATE PERMIT # 9.3! r/,A� j1,,i1."I)
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES
/,FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR l
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING `
PLUMBING VENT/VENTS ItV PLACE',
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADER
BRACING/BRIDGING,:'
JOIST HANGERS
JACK POSTS/MAIN! BEAM
HEATING ROUGH-INS!
INSULATION:
FOUNDATION WILS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS I R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Ikk\ARRIVE 3, 9
DEPART 55 tat.
`„.) NSPECTOR
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TOWN OF QUEENSBURY BUILDING DEPARTMENT \\\\\
Based on our limited examination,
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compliance with our comments shall e›
not be construed as indicating the
plans and specifications are in full
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compliance with the code. .01 \\
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