1990-361 "ice'=y•Zk .,_c ; `. ''�-
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.� f , CERTIFICATE-- OF COMPLIANCE
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dace Audust 28 19 ¶
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This ie to certify that work requested to be done as shown by Permit No. 90-361
has been completed.
This structure may be occupied as a elyad c f
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1(1 *-ak° ,_
-Location nob Road �TI►1e ey)
ISABELLA H. GRANT
Owner
By Order Town Board
4, TOWN OF QUEENSBURY ,
0
. Director of Bldg. ac Code Enforcement
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BUILDING PERMIT
,,
TOWN OF QUEENSBURY
No. 90-361
WARREN COUNTY, NEW YORK 'b
0
PERMISSION is hereby granted to
ISABELLA H. GRANT >_
co
Pilot Knob Rd (Warner Bay)
OWNER of property located atStreet, Road or Ave.
-a
in the Town of Queensbury,To Construct or place a Shed
07
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
1101 Green St
San Francisco CA 94109
2. CONTRACTOR or BUILDER'S Name
Jack Davis
cr
3. CONTRACTOR or BUILDER'S Address
PO Box 138
Kattskill Bay NY 12844
4. ARCHITECT'S Name
'TJ
O
5. ARCHITECT'S Address
O
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
v
No. 13'6"x13'6" Shed as per plot plan, specifications and application.
8. Proposed Use
Shed cn
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$ 16.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES December 2 19 90
(If a longer period is required an application for an extension must be made to the Building and coning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 12th Day of June 19 90
SIGNED BY 27 for the Town of Queensbury
Building and Zoning 'spectoiz—
TOWN OF QUEENSBURY
—Mr_. REVIEWED BY
1 FEE PAID J��v OFlow" �U�}E;
c PERMIT NO. _ 1 U U
BUILDING PERMIT APPLICATION JUN - 7 1990
BUILDING & CODE DEPT.
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 reverse side of this application.
a a * a a a a * a' a a * a * * * * _* * a; * * ,* * * a * * * * * a a t ! * * * * i *
The owner,of this property is: _1S4r3F,cza f/ . .471JT "
P.O. Address /(o 6r?� S�n(FTto ucjsco G4 g�{lo 9 - V Tel. 4/S'.-Q)Q- S3S0
•
Property Location R/CoT re (03 6(1A7A t4(, . 5 ) Tax Map No. lc, / // 37
Has there been any split of this property since., October 1, 1988? /
' I 38
If yes Planning Board Review is necessary. V yes no
SUBDIVISION NAME, IF APPLICABLE V LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
JAck, f)4ve s ?0 3oK 138 L4rrrAc 34(,44) /ze 44 G — 763
NATURE OF PROPOSED WORK: * ESC;MATED MARKET
CONSTRUCTION:
Construction of a new building *
• Addition to a building *'- COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building *
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
* Proposed building - distance from property line:
IX- Other work (Describe) Ito *' Front yard ft. Rear yard ft.
o4( 5,42"e Side yards ft., and ft.
*
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor _ /8Z • Z� sq. ft." • OCCUPANCY INFORMATION
2nd Floor sq. ft. * Primary Building -
Other Floors — sq. ft. * One Family Dwelling
(not cellar or basement V * Two Family Dwelling
TOTAL FLOOR AREA /8Z. Zfq, ft. • Multiple Dwelling/Number of units
Size of new structure/3' ft x /3 E ft. a Business
Foundation—pier/slab/ * Industrial
(circle one -- f�� • Other
STo,eaGe— T ao,c-),N
•
No. of stories (habitable space) /
•
Height (grade to ridge) /S" t ft. •. If addition, what will use be?
If residential, no. of families — • V
No. of rooms(excluding baths) •
" Accessory Building
No. of bedrooms _Detached Garage ONE/TWO Car
No. of bathrooms — •
Primary heating system — • Attached Garage ONE/TWO Car
Type of fuel — V
Private storage building
No. of fireplaces to be installed * t -
* Other
Willa wood stove be installed
Central Air conditioning
• :
OV' ER •
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING 3,P,ECITICATIONS: ,i,
1! ;
Tpe
-kr,r1 •
of construction, wood frame, fire safe, etc. vveoj 142,061.1e,
Will any secqnd-hanckor upgraded lumber be used? If so, for what?.
Foundation Foundation wall material ST-0,0c /* 1.1...C47.erE Thickness
Depth of foundation below grade (to bottom of footing) 7.
Will there be a cellar? At;. Heated or unheated? c...)Aiike41E,1 Floor sq. footage /.5)Z. Ese-sq ft.
Will there be a basement? it(c) Will any portion be used as living space?
(If so, what portion? sq ft. Type of use? 6-roetokoz
Type of roof - slcieflat/shedlother Material of roof , „5",,k,o‘ces‘s-
Size, wood studs Z. ,"x 4 " spacing 76 " c.c. length es ft.
Joists (floor beams) 1st floor Z, "x " spacing /C, "o.c. span ( Z. ft.
Joist (floor beams) 2nd floor — "x " spacing "o.c. span_- ft:
Overlays'(ceiling beams) Z. "x " spacing ( „ " o.c. span 1...? ft.
Roof rafters "x 8 " spacing ( , o.c. span 71 'ft.6
Roof trusses (pre-engineered) spacing — " o.c. span — ft.
. -
Exterior wall finish 4/( co/7-1( 34mA)XnerAof what material?
Interior wall finish
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,
self-closing device be provided?
Will a flue-lined chimney be installed? A‘ Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. - in..
Water supply - Municipal or private well 4‘,
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ,r/ 1. ft.
(A separate application is necessary for any repair or new installation'of septic System) •
NAME OF BUILDER jAc.Z ‘).4<_)/S ADDRESS Po3ox (384.17-,4cc 3E L. NO. 65'6-983)
/1(i)/LS 49'
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO. -
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge aid 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
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
4A
N S NOW
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BY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTIR'S REPORT
/ 9-/- 3 7/:/
REQUEST •R INSPECTION REC.i VED
NAME /d(2 JJJ 1,1
Gr. d i/YL
LOCATION j� 1 'z6.�i. �� Gl1eMiYlj.{ c
DATE ?I ,f Igo PERMIT # 9O -3&,o/gz/
APPROVED
YES NO
FOOTING/PIER'
MONOLITHIC P• R FORMS
FOUNDATION/D• 'P-PROOFING
BACKFILL APPR•VAL '
ROUGH PLUMBIN -
FRAMING 1
ELECTRICAL ROUe• -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/,TE.'S
STAIRS-CLEARANCE ILS
PLUMBING FIXTURES/'LIEF VALVE
INTERIOR TRIM/PRIVA1 Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFINe
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN-PEC ION
_FINAL APPROVAL OF CvNSTR CTION 1115--
OK TO ISSUE C/O OR /C
A SIGNED CERTIFICA E OF 0 UPANCY MUST BE
OBTAINED FROM THE WILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED •
REMARKS:
ARRIVE 2 : 16
DEPART
PECTOR
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