91-585 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19\9Z
This is to certify that work requested to be done as shown by Permit No. 91-585
has been completed.
Pool House
This structure may be occupied as a
Location Moon Hill Road
Owner Gary & Patricia Pickett
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-585
WARREN COUNTY, NEW YORK
P.+
PERMISSION is hereby granted to Pickett. Gary & Patricia Co
OWNER of property located at Moon Hill Rd Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Pool House
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. 3'
1. OWNER'S Address is • fD
e+
Same e+
2. CONTRACTOR or BUILDER'S Name
a.
Rod Ward
e+
3. CONTRACTOR or BUILDER'S Address
C1
RR#1 Box1291
Fort Ann, NY 12837
4. ARCHITECT'S Name
O
5. ARCHITECT'S Address 7
and
—I.
6. TYPE of Construction—(Please indicate by X) a
( )XNood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.392 sq ft Pool House as per plot plan specifications and application c
smol
8. Proposed Use
Pool House Storage
$ 32.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 16, 19 92
(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' l6th Day o A ust 19 91
SIGNED BY a./( for the Town of Queensbury
Building and Zon' nspector
TOWN OP QUEENSBURY
1� REVIEWED BY: tat `i
. a .
FEE PAID: ..� , e., :f r
PERMIT NO. : / — 11UG 15 1991
BUILDING & CODE DEPT.
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 reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property:
�-..t.t t �� mac_,. L� �c..� � k c �--
P.O. Address: � .� �3 ��k� G e I2fy3 PHONE-? z 'fV L-
Property Location: �Y� u �� Qom b 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: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
iliTURF OF PROP��OpSED WORK: RFPLAcE PaoL * ESTIMATED MARKET VALUE OF THE
J1d/ivy W/f/c, ,�vrN 7 Thy GYoUAk',
)( Construction of new building * CONSTRUCTION: $ 45.400
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:3.`1/-r4"
(no change to exterior dimensions) * Size of Property: -? O ft. x ft.
Other work (describe) * Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 3 9 A Sq. Ft. * Front Yard �O ft. Rear yard /(3 7' ft.
* Side Yards /L/O 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: 3 9 a Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: jil ft. x Z 9 ft. * Two Family Dwelling
Found. '• : * Multiple Dwelling/No. of Units
Pier Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other ]'ooL #auSE
Height (grade to ridge) /4 ft. *
If residential , no. of families: * If addition, what will use be? S 5'Y1,,9c'
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 y *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: good frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? NO Heated or Unheated? UNIE.47 ei Floor Sq. Footage: .37o
Will there be a basement? WO Will any portion be used as living space? A/a
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof LZc7 'L
Size, wood studs " x // " ; spacing / ' " o.c. ; length 8 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) : A x LI " ; spacing /4' " o.c. ; span /1 ft. 7y
Roof rafters: " x "; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span /,4 ft.
Exterior Wall Finish: k Tu ys; /- / of what material ? ` ;f = 'C ' '
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? Height above roof ft.
Depth of chimney foundation below grade: ft.
Depth of fireplace hearth: ft. in.
Water supply - Municipal or private well :
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: oc ��okd g lz _ PHONE-7 _ 5cc 1
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: ix .,.-A-07‘ MaLa PHONE 77a
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 '°• '
• Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
0111Y\
TOUR OF QUEENSBURY
`41 BAY QUEENSBURY, NEW RYORK 12804
TELEPHONE (518) 792-5832
IBILD
LUING INSPECTOR'S REPORT
MA
RE EST Olt'�NSP INSPECTIr ,�
QU IYED 1
NAME )2 ( Ct YL
LOCATION \N'\10;L 1-\ \ a S C k1
DATE C J j S/ I' I PERMIT! / -sxc
TYPE OF STRUCTURE )__-_ 41.1 Ill
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOOSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS '
}
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION;
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILING
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/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
STO.A./CTUI2k IA Crho Pelt PL,4,44s
ARRIVE /(,SO
DEPART rZo C)
'1 l
TOWN O�1 QU�1 I;NSBUIZY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-79P-5812
145-4447
Date: j f J 4 Z5 /9Q/
`ego- Via/ Jed.
RE: Tax Map # 4P` /— S /
Building Permit # 9/-,5 .5 ( 1D?)-4-- Xr J
Dear •
The inspections for the building permit indicated above have been completed
by this Department. However, the final electrical inspection has not been
made, or if it has, we have not received an indication of this from the
electrical inspection agency to whom you applied.
Please contact your contractor, or the electrical inspection agency
representative for this area, list attached, to finalize this inspection as
soon as possible. A Certificate of Occupancy or Certificate of Compliance
cannot be issued for this project until such time we receive this notification;
and therefore, the dwelling, addition, garage, etc. for which you applied,
cannot be legally used in the Town of Queensbury.
We anticipate your cooperation in this matter.
Very truly yours,
/ ) /')
DAVID HATIN, DIRECTOR
BUILDING & CODE ENFORCEMENT
DH:lm
"HOME OF NATURAL. BFAUTY A GOOD PLACE TO LIVE"
SETTLED 1761
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