91-586 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
November Lei 13 95
This is to certify that work requested to be done as shown by Permit No.
has been completed. 91586
•
This structure may be used as a
Location CAR DETACHED GARAGE
Owner 1623 tIUON H1EL Rt
By Order of Town Board
PICKETT , CA Y & PATRICIA TOWN OF QUEENSBURY
Director of Building & Code Enforcement
•
BUILDING PERMIT
a
TOWN OF QUEENSBURY x
No. 91-586 a
10
WARREN COUNTY, NEW YORK
O
PERMISSION is hereby granted to Gary & Patricia Pickett t
'
OWNER of property located at Moonhi 11 Road Street, Road or Ave. i,
CO
in the Town of Queensbury,To Construct or place a 3-Car Detached Garage
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. c�
PC
fD
1. OWNER'S Address is r+
e+
RD#1 Box 1623 Moonhill Rd
Lake George, NY 12845 a
44(
2. CONTRACTOR or BUILDER'S Name CIO
Same -0
su
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3. CONTRACTOR or BUILDER'S Address n,
o+
4. ARCHITECT'S Name O
O
5. ARCHITECT'S Address a
W
1
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6. TYPE of Construction—(Please indicate by X) ly
.S
v
(X)Wood Frame ( ) Masonry ( )Steel ( ) M
7. PLANS and Specifications ')
a
No. 864 sg ft 3-Car Detached Garage as per plot plan specifications
and application
8. Proposed Use
Storage
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 3, 1993
(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 Day of ; January 19 91
SIGNED BY __ for the Town of Queensbury
Building and Zoning nspector
TOWN OF QIEENSBURY
4121111
REVIEWED BY:sFEE PAID:
PERMIT NO. : 1 ' iir
cl I- 6-; 1-9s
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: ,,)Yy Tyic/q /3c irE77
P.O. Address: Rd/ ,fax/a.a3 4.4 F G£ o "/,S- PHONE
Property Location: /ll oa/l1.+'iii ,/o,td Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No )(
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:
PHONE
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
)( Construction of new building * CONSTRUCTION: $
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.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor gcy Sq. Ft. * Front Yard g7.5' ft. Rear yard 80-t ft.
* Side Yards D,oa 16. ft. and /dO 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: Q E' 4/ Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x 3 G 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 Py,f.,d' "k 6.4 r'4gb
Height (grade to ridge) so& ft. *
If residential , no. of fam es: * If addition, what will use be? 57;3Y.4
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: * x 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. hood fY,,•449?"
Will any second-hand or ungraded lumber be used? If so, for what? 4/0
Foundation Wall Material : GE/ C/S/]y- / Rod Thickness: /i "7 /eir•A /`"Sv.i,`dij
Depth of Foundation below grade (to bottom of footing) : I
Will there be a cellar? No Heated or Unheated? 4Ay . ./ Floor Sq. Footage:64y
Will there be a basement? /A Will any portion be used as living space? 4'r
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: ,Sloped/Flat/Shed/Other Material of Roof ,l11ZJ IL
Size, wood studs ,. " x " ; spacing /C " 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): ,2 " x y "; spacing y o.c. ; span 49 ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered): spacing " o.c. ; span ,4/ ft.
Exterior Wall Finish: TEc,NTuyE /-// —.'° of what material? )52:y14/®pd
Interior Wall Finish: X)40fi o h
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 !i private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: G,,q,y), /e jr 141:,f. -d 7 q . Off-f PHONE 79',2.94fc9
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
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 ,�
• ner er s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
1
772 --1( g2--
010. TOWN OF QUEENSBURY
i11IM � BUILDING & CODE ENFORCEMENT
, 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
1 1
ARRIVE: t `�4 DEPART: ti D INSP: ) WV
FINAL INSPECTION REPORT - RESI ENTIAL
DATE I PECTION REQUEST RECEIVED: `, " 13 9 S
NAME `r 'V%-e - \/'
iC-11-11`)A6
LOCATION X` ` vC ‘,U a DATE MI 5 PERT 1 `1~ 5g(k
TYPE OF STRUCTURE-3- j1Q-A- GLCA-en9-
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
7N/ YES NO
CHIMNEY HEIGHT/B VENT/ EIGHT v,/I
PLUMBING VENT I/ f
ROOFING V
EXTERIOR FINISH V
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES V
FURNACE/HOT WATER OPE-TIN.
J
INTERIOR TRIM/PRIV. Y DOORS
FINISH FLOORS: 1
BATH/KITCHEN ATERTIGHT J r
OTHER FLOG' . SWEEPABLE ttt V/
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAILINGS �//
j]OKE DETECTORS11
BATHROOM FANS V
PLUMBING FIXTURES ./
FOUNDATION INSULATION 1/
GARAGE FIRE PROOFING
V
( /
DOOR CLOSERS /
FINAL ELECTRICAL,-q -(AS/ S
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT P V
OK TO ISSUE C/O O''gli
v v.uay....uawaaa ua�uvaaaavaw a..va uvaay.. vua..avu,aa.v. �Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL •-,st
Panel Board No. Ce t. 4 5 3 4 4 Cut-in Card No.
Owner G 4-e y f2 r /
Occupant _
Location l� 4{l L-L ��7 .(Al trieit, ./
Installation Consisting of.....9 !l /e 11" / 'S 12 e t--P " / 1-6_.
/c v /R %3 ,e..¢-,vJ Z-- - f 6/ y
installed By `---),' rn' Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of maki g ins e• ns at any time,and if its
gp rules are violated,the Comy shall have the right to revoke.thj erti ate'
C
Date // -� " INSPECTOR .L7.0`-'"ri- --
Member N.F.P.A.,I.A.E.I.
4 L1L 02
TOWN OF QUEENSBURY q;�A
531 BAY ROAD ` 1
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED !1Tf A-F
NAME P c-V V= C-V J (-A R'
LOCATION -,i, g, -)
DATE Z h I qy PERMIT# ell rjp
TYPE OF STRUCTURE ?? ( 2ec
RECHECK TQo , (Li cv tom.
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
AefOOTING FOUNDATION BACKFILL AMING
_ROUGH PLUMBING ¢6LN. —ORTir" ._ SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROV
N/A '�YENO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION r
PLUMBING VENT
ROOFING r///
SIDING
DECK/PORCH/STEPS AI NGS r
RELIEF VALVES
FURNACE/HOT WATER ERATIN
BASEMENT INSULATIO DUCTK
INTERIOR TRIM/PRIV DOORS
FINISH FLOORS: /
BATH/KITCHEN WATERT HT
OTHER FLOORS SWEEP BLE.
OTHER FLOORS CARP TED
STAIR CLEARANCE/R41LINGS
HANDICAPPED ACCESS
SMOKE DETECTORS/
BATHROOM FANS/ OLEHOUSE FANS
ALL PLUMBING IXTURES OPERATING
GARAGE FIRE ROOFING
DOOR CLOSER
OTHER FIR SEPARATION
FIRE/DEM E WALLS
DUMPSTE
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
"SUS 1D CE ZA3-,
COMMENTS:
�»‘5
�V- -"K75
ARRIVEN
DEPART (C..); O�
INS
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TOWN OF QUEENSBURY -________-
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPF,TON RECEIVED
NAME t J}lam Ja r�
LOCATION JI/j &AJ i ( ( 0 ,
DATE /i/V Q 5 PERMIT I
TYPE OF STRUCTURE 3---rA1`C-N-T/re( 6A046'
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
,LAMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERST'
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAT,
HEATING ROUGH-IN }
INSULATION:
FOUNDATION WALLS INTERI R R-
FOUNDATION WALLS EXTERIO _ R-
FLOORS R-
WALLS R
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
C • ) 044&46,201,
ARRIVE , �O
DEPART
If TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT //1171
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /LY/Z. ,4
NAMEA4,71/ d / /U -( ,_. Mat
LOCATION h-yl .L,/
DATE //// /9_5PERMIT 1 9/ -5t?
TYPE OF STRUCTURE 3 ( _ di, ' if lir_
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 f
PLUMBING UNDER SLAB '
)( FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
,/
(?' �,t/J
ARRIVE /2(-ai 7
DEPART /l/Gt) ,1-),
I ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .5u.c ' ti
•
NAME (4u1 L fk1-F
�!` '.
LOCATION /6/
II
DATE Ak2--c3 /9PPERNIT I %/
TYPE OF STRUCTURE _ f' 46..ledC
RECHECK 4'PROVED
N A YES NO
!raOTINGS/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 i
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE/
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS r%
JACK POSTS/MAIN BEAM/
HEATING ROUGH-IN
INSULATION: _
FOUNDATION WALLS I TERIO R-
FOUNDATION WALLS �EXTERIO R-
FLOORS 1' R-
WALLS R- _
CEILING R-
DUCT WORK OR APING IN UNHIATED
SPACES
REMARKS:
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