93-442 .31
CERTIFICATE OF- COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 15 19 95
This is to certify that work requested to be done as shown by Permit No. 9 442
has been completed.
This structure may be used as a ALTERATION TO ROOF LINT
Location ho REAR R ,
Owner 'h RY, Piio—u & CAROLYN
By Order of Town Board
TAX HAF NO. 4 5; 3.- i 5 TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
1.3
TOWN OF QUEN URY 93-442
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thom and Carolyn Clary
OWNER of property located at Reardon Road Street,Road or Ave. ttn
in the Town of Queensbury,To Construct or place a Raise Roof Line ##
at the above-"location in accordance to application together with plot plans and other information hereto filed and ill
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I. OWNER'S Address is
RDS Box 187,
Queensbury NY 12804 {^
2. CONTRACTOR or BUILDER'S Name
Kenneth Collette`
C
3. CONTRACTOR or BUILDER'S Address 't3
Rs
4. ARCHITECT'S Name (`1
rt
0
I-•
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by XI
(x)Wood Frame ( 1 Masonry (,.1 Steel ( )
Rf
6
7. PLANS and Specifications
Raise roof line of house to meet adjacent roof line as
No- per specifications and application.
8. Proposed Use
New roof line
30.00 August 5 94 a
to-
te
$ PERMIT FEE PAID-THIS PERMIT EXPIRES t£ x
(If a longer period is required an - r
e4 appl�t(on for an extension must be made to.the Building aad�Impactor
town of Queensbury before the:eeggration date.) 0
O
t^R
Dated at the Town of Queensbury this Sth Day of; August 13
SIGNED BY P " ` f v �,A for the Town of Queensbury S
l�Bui 10,407.oning Inspector
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD �P
QUEENSBURY, NEW YORK 12804 PERMIT NO. 93- /YZ
(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: Thomas and Carolyn Clary
Mailing Address : RR5 Box 187A reardon Road, queenshury, N.y 1 . 804
Telephone Number( s ) : Work 747-5149 Home 793-4227 Other
PROPERTY LOCATION: 45-3-15
Tax Map Number: Section Block Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 1000. 00
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL XX Single Family Dwelling
XX ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office ,
OTHER WORK (DESCRIBE BELOW) Mercantile
raise roof to meet adjacent roof for Warehouse
esthetic effect. Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) none
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
none
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
Ken Collette
NAME OF BUILDER/ADDRESS/PHONE: 747-5133
NAME OF PLUMBER/ADDRESS/PHONE: N/A
NAME OF MASON/ADDRESS/PHONE: N/A
NAME OF ELECTRICAN/ADDRESS/PHONE: N/A
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 rojec n pr!pRe .
Signature oo
(Owner, owner' s agent, architect, co ractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 r
INSPECTOR'S REPORT: ARR , ,1 DEPART 7f4(INT�/
REQUEST FOR INSP ZION RECEIVE
NAME _ /UM / (./W i-
LOCATION 42/
DATE �l J PERMIT if 2 /VZ
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON'IB FOR
PROVIDING PROTE TION FROM F:EEZING
FOR 48 HOURS FOLLOWING THD •LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS3 "N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS I PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/ ADERS
BRACING/BRIIGING
JOIST HANGE:S
JACK POSTS/ 'IN BEAM
AIR INFILTRATION B,"RIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALL. INTERIOR R-
FOUNDATION WALL. EXTERIOR R-
FLOORS R_
WALLS R_-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
7421 BAY ROAD
�,•� QUEENSBURY NY 12804
(518)745-44447
b
ARRIVE: 3(0 DEPART: �JQ J,p INSP:0'
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUE T RECEIV D•
NAME f
LOCATION ej 4- a,
DATE �jj ERMIT N �J � 7
TYPE OF STRUC RE
FOOTINGS FOUNDATION BACK ILL FRAMING
ROUGH PLUMBING SEPTIC INSULATI
FINAL ELECTRICAL WOODSTOVE 0 FIRE LACE
Ni YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O 01050