91-660 •
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date ` A 4J7/-bi `2 19 2
This is to certify that work requested to be done as shown by Permit No. 91-660
has been completed.
This structure may be occupied as a
Alteration to Barra
Location 118 Meadowbrook Rd
Owner George a Sipos
By Order Town Board
TOWN OF QUEENSBURY
r
` Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-660
WARREN COUNTY, NEW YORK
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Sipos
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PERMISSION is hereby granted to George P
OWNER of property located at 118 Meadowbrook Rd Street, Road or Ave. ,.
in the Town of Queensbury,To Construct or place a Alteration to Barn
at the above location in accordance to application together with plot plans and other information hereto filed and O
rn
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is O
Same 2
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2. CONTRACTOR or BUILDER'S NameCO
WILLIAM SCOTT WEST
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3. CONTRACTOR or BUILDER'S Address 0
G'
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pr
70
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) rD
(X)Wood Frame ( ) Masonry ( ) Steel ( )
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O
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7. PLANS and Specifications
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No. Replace Wall as per plot plan specifications and application co
8. Proposed Use
Alterations to Barn
$ 70.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 19, ig92
(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.)
Dated at the Town of Queensbury this 19th Day of .September 19 91
SIGNED BY for the Town of Queensbury
Building an Zoning Insper' r
TOWN OP QUEENSBURY oo
1111& REVIEWED BY: S
YON FEE PAID: , RECEIVED
PERMIT NO. : '` -( 1 i G o
SEP 1G 1991
BUILDING PERMIT APPLICATION P'®G° CODE DEP7ma
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.
* * * * * * * * * *. * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * * *
Owner of Property: O Poe_6,C �; has
P.O. Address: (I 8- ►V1 pa c(oz-v 6 irco lc t 1 PHONE :7 93- 2P7/e
Property Location: (lejeoee of 1Y►earlo&.trcol< -E Crort(� Q1 Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: ti G1U P Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ Ni.;OQQ°d.o
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) . * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size: ,
•
* ft. x ft. A*044/CPel ell I
r 'Y
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line: -x%si I1 ccfCtq r)%fit
/ A�/Sq.�Ft lacy * Front Yard ft. Rear yard ft. SP
1st Floor 9 0 M 6J
ZP
* Side Yards ft. and ft.
2nd Floor Sq. Ft. - * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl Partial Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) - * Other �io e
Height (grade to ridge) ft.. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths):
No. of bedrooms: * •
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * - Other
Central Air Conditioning: Yes No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 4joo d F ieF9/H-
Will any second-hand or ungraded lumber be used? If so, for what? A/O
Foundation Wall Material : ('.Gur'2?oTP Thickness: /a '(1c c96 �!
Depth of Foundation below grade (to bottom of footing) : /g '/f
Will there be a cellar? AIO Heated or Unheated? a /lra 7e/ Floor Sq. Footage:
Will there be a basement? /U6 Will any portion be used as living space? A/O
If so, what portion? O Sq. Ft. Type of Use? IWQAI
Type of Roof: Sloped/Flat/Shed/Other Material of Roof _
Size, wood studs " x " ; spacing " o.c. ; length ft.
Joists (floor beams) : 1st Floor " x "-; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor _ x "; spacing " o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: icoelfc' Sid' 1 N9 of what material ? 'Oaco"
Interior Wall Finish: ,rluNe
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? CFA- 1-cLed
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 : mme.
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: flintlock loaf Se olt l&J-e,57- /0 (CA 3ti . Q PHONE -293-y6 y3
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: 13e -r /a Ea s y s% ff3 1 PHONE 7 2-y6 y3
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
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 /,usv,
• Owner, owner's agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
TOWN OF QUEENSBURY
531 BAY ROAD
APIPAi':a QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 49�j
LOCATION/ //1 77jv_,.z/6z4"Artr la
DATE ,f, PERMIT# 0/L�l G
TYPE OF /STRUCTURE (i. 7J .6- jf 4r,/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
nn.POOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION j
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS 1
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DU,CTWORK
INTERIOR TRIM/PRIVACY 'DdORS
FINISH FLOORS: X
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAIL/INGS
HANDICAPPED ACCESS/
SMOKE DETECTORS /
BATHROOM FANS/WHO.LEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS I
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /1/4-
OK TO ISSUE- C/0 OR C/C
COMMENTS:
JjJc-tL �JS t ►2c►c;L X3 . (,E VY'�P-A4A-'�-
Roo )2,6P,y-c 2..A-L so Cvm�Ltrrl
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ARRIVE /,
(
DEPART i%Lt) 7 b iL(
INSPEfTOR
TOWN OF QUEENSBURYQUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
• EMI!€PI dSPECTOR°S REPORT
IWAL INSP.
REQUEST FOR INSPECTION RECEIVED /0/,r,
WINE qaS___iflec Y'c.
LOCATION )f
DATE 10/95/1( PERRIITV
TYPE OF STRUCTURE A IA NC
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
:FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION W00DSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT !'
ROOFING ..
SIDING /
DECK/PORCH/STEPS/RAILINGS \ I
RELIEF VALVES \ ''
FURNACE/HOT WATER OPERATING&
BASEMENT INSULATION/DUCTWORK\
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: ,�
BATH/KITCHEN WATERTISHT
OTHER FLOORS SWEEP48LE _
OTHER FLOORS CARPETED
STAIR CLEARANCE/RA tINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WH-LEHOUSE FANS
ALL PLUMBING FI TURES OPERATING
GARAGE FIRE PR OFING_
DOOR CLOSERS
OTHER FIRE SE ARATION
FIRE/DEMISE W LLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C
COMMENTS:
S
ARRIVE //
DEPART
INSP-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ) ( cb3
LOCATION M C VD CD 3 \$cP__C O K ,
DATE Oh/Cl / PERMIT # G 1 - 66,C)
TYPE OF STRUCTURE I�S/1 Z h1
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
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB "{
FRAMING:
JACK STUDS/HEADERS \
BRACING/BRIDGING 1F
JOIST HANGERS X
JACK POSTS/MAIN BEAM ' \,
FIRESTOPPING r
WALLS
CEILING / 4,
FIREWALLS / h.
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS XTERIOR R- '\
FLOORS R- k
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES `
REMARKS:
N FOTZ,A-4&AO
l --•24 w t c
O (� Pour
ARRIVE (Z
DEPART ) 1 �L
INSPECTOR
TOWN OF QUEENSBURY
��► 531 BAY ROAD
.` QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 9-3 O -9 I
-hit!
NAME S c U e S ss)
LOCATION \ s tin-eQd.oW r e aJ�
DATEfi PERMIT# -'CO_6V�l
d � .
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT j
ROOFING /
SIDING
DECK/PORCH/STEPS/RAILI1NGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK;'
INTERIOR TRIM/PRIVACY DOORS/
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE\,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILI'NGS
HANDICAPPED ACCESS/
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FLXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS/
OTHER FIRE SEPARATION
FIRE/DEMISE/ WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
A44_, pi 5-cus 54-29
•
ARRIVE 7; 45
DEPART /O'C►z;
INSP (Tv
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments stall -_
not be construed as indicatingdm Boo.. i/e top pin re
plans and specifications are in full �e�
compliance with the code. !e'"e /�
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1 i `0,0/: Eliza & CODE DEPT.
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ig
BUILDING " COE DEP_T.
REVIEWED BY
DATE d �{a: ,� FILE COPY