95-164 CERTIFICATE OF COMPLIANCE
TOWN 01 QUEENSBURY
WARREN COUNTY, NEW YORK
Date .Tin l y 6 19 9,
This is to certify that work requested to be done as shown by Permit No. 95164
has been completed.
This structure may be used as a SHED
Location RIDGE, RD,
Owner Pi LTI l R , DONALD & JANE
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 2400 TOWN OF QUEENSBURY No. 95164
TAX MAP NO. 20. -1-14
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
PELTIER. DONALD & JANE
RIDGE RD.
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SHED
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
STAR RTE. ,RIDGE RD.
QUEENSBURY, N.Y. 12804
2. CONTRACTOR or BUILDER'S Name
FOOTES AMISGH SHED CO.
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
STORAGE SHEDS
( 1 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
440 SQ FV STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SHED
$ 16 PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 1�7
(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 20 Day ofApri 1995
SIGNED BY c � for the Town of Queensbury
Building and Zoning In r
Department of Community Development Reviewed By: , .. - --
Bu l.a ng & Code Enforcement 4010101A
l3ui din Inspector
Town of Queensbury WOW Permit No. 9 c) / 6 Ll
742 Bay Road 00
Queensbury, New York 12804 Fee Paid $ ,} t
(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.
Applicant: 0 0b 1 P-i-di n f J etrue i)E..//7 /2 Owner: 4I,a/J I1 Pe/717i'1,-*
Address: 2Y6d A( .sY 9-e_kee 0,6fAi hid1Qy Address:An e 0cii-Q_ P---pe
Phone # (_`. ,1- ) . �-4 ? s l?7 Phone # ( ) 6S6 - _4J2.7_ C i, -/'�f
Property Location: Ga<.,d c,,rC4'�- ?a� /`
Tax Map Number _ —� // 7-
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ '2, C-loo-C) ,
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dw 1EIVED
Office
`'� Oth r W ork (d scribe below) Mercantile
J1,� �,� Manufacturing APR 171995
Other
GROSS AREA OF PROPOSED STRUCTURE: TOWN OF QUEENSBURY
AND CODE
If ADDITION, what will use
1st Floor / yv sq. ft • of new addition be? :
2nd .Floor sq. ft .
Other Floors __ sq. ft. --
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: /- 4 c) SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other V2
FEET X 2`l� FEET
Foundation Type : Ge-A J EL Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) dJ
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies )
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
me ddresss 4 Phone
Builder: /--ka- SfsffKLis
Plumber: —ecA) n -3--- rr 4L,vh,/,'v - rJ`1
Mason: C/
Electrician:
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 issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of project on premises .
Signature: 2
(owl er, owner' s agent, architect, contractor)
TOWN OF QUEENSBURY
,, i BUILDING & CODE ENFORCEMENT
742! BAY ROAD
QUEENSBURY NY 12804
/ (518)745-4447
ARRIVE: '�'r^,/DEPART: /4%1, 4Z..) INSP: vr
d
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS CTION REQUEST RjECCEEIVED:
NAME 511
LOCATION A• ��6 ��/
DATE 7/6 PE IT r i7f/
TYPE OF STRUCTURE 'fe
FOOTINGS FOUNDAT •N BACK:ILL FRAMING
ROUGH PLUMBING _ S:PTIC _ I 'SULATION
FINAL ELECTRICAL OODSTOVE •R FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HE GHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILING
RELIEF VALVES
FURNACE/HOT WATER OPERA ING
INTERIOR TRIM/PRIVACY 'OORS
FINISH FLOORS:
BATH/KITCHEN WATERTGHT
OTHER FLOORS SWEEPA:LE
OTHER FLOORS CARPE D
STAIR CLEARANCE/RAIL NGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATISN
GARAGE FIRE PROOFI
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE CIO OR C/C �//
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DRAWN BY SL, DATE '+-I DRAWING NO.
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PRINT ISSUED