91-292 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date / 7 19 11
This is to certify that work requested to be done as shown by Permit No. 91-292
has been completed.
This structure may be occupied as a 2-Car 13Ptarhed no rage
Location Cleverdale, NY
Owner James & Nancy Hagan
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-292
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to James & Nancy Hagan
r
OWNER of property located at Cleverdale Street,Road or Ave.
W
in the Town of Queensbury,To Construct or place a 2-CAr Detached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and ozu
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
3
1. OWNER'S Address is
Same Box 303
Cleverdale, NY 12820 y
os
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
fD
fD
a
4. ARCHITECT'S Name
N
a
5. ARCHITECT'S Address
fD
r+
a
6. TYPE of Construction—(Please indicate by X) a
(X)Wood Frame ( )Masonry ( )Steel ( ) + 0)
to
7. PLANS and Specifications fD
No. 576 sq ft 2-CAr Detached Garage as per plot plan specifications
and application
8. Proposed Use
2-Car detached Garage
$ 35.00 t PERMIT FEE PAID —THIS PERMIT EXPIRES May 14, 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 14th Day of Mdy 19 91
SIGNED BY ., _ \\AA:ti for the Town of Queensbury
Building a Zoning Inspec'
TOWN OF QUEENSBURY
REVIEWED B 401" 'DIAN OF Q riENS UHV
AECE1 Fl`l
.• 1�� FEE PAID $
PERMIT NO. c27/°— )6/ .L MAY 101991
BUILDING PERMIT APPLICATION BLDG. & CODE DEP7"§
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
!ILL 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.
The owner of this property is: / ;.v;?y < „ / ;1, , � , tf /y1,
P.O. Address • t.
_� � Ote v--re�a<�x /- y i,;r Tel. ,5'/tr - ',CZ, —34
Property Location f e �,�.�,,�� Aif a i='4,.i4f,,,° ,;,<?— Tax Map No. 1 / /
'las there been any split of this property since October 1, 1988? /
f yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
['HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
*
1ATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
•
V Construction of a new building * CONSTRUCTION: S '00
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property �ce �`�
P P y7,2 A �ci ft x ft.
Alteration to a building * 3 e
(no change to exterior dimensions) Existing Buildings(3) Size �x 4/ ft. x ,j ft.
' Proposed building - distance from property line:
Other work (Describe) • Front yard /7c) ft. Rear yard 30 ft.
•
Side yards ` , ft. and /742 ft.
•
3ROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor f71, sq. ft. * OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • V-One Family Dwelling
(not cellar or basement) Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • ..V Multiple Dwelling/Number of units_a.
Size of new structure1 ft x 11. ft.
• Business
?oundation-pier slacrawl/partial/full ' Industrial
(circle one) * Other
•
:o. of stories (habitable space)= •
ieight (grade to ridge) ft. • If addition, what will use be?
f residential, no. of families •
4o. of rooms(excluding baths) -
Accessory Building
No. of bedrooms ' / Detached Garage O 'WO Car
No. of bathrooms •
Primary heating system • Attached Garage ONE/TWO Car
Type of fuel ' _Private storage building
No. of fireplaces to be installed * Other
Will a wood stove be installed •
•
Central Air conditioning
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. LAG t! rj ✓'" .,:a.,..,,
Will any second-hand or upgraded lumber be used? If so, for what? /4< -
Foundation wall material ,,, Vei ,C Thickness .$G ` ,-zy,,ll z, 4
Depth of foundation below grade (to bottom of footing) J '" Al;,q,,.s„/ , ,, ,I.
Will there be a cellar? V Heated or unheated? 4 /,„,. - ci Floor sq. footage 3`76; sq ft.
Will there be a basement? /rc, Will any portion be used as living space? 4/o
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other/;y--Material of roof ,, ,
Size, wood studs A "x 7 " spacing )4, " o.c. length- -7 ft. F rf a
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (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 /C " o.c. span 2 ‘7 ft.
Exterior wall finish ,1,..,,../ ,, ' .t , -- of what material? / -:,,, c
Interior wall finish 4r .
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? F.,5 If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? ,jt, Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. j
Water supply - Municipal or private well y,.-v ..
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /. ft.
(A separate application is necessary for any repair or new installation of septic syste )
NAME OF BUILDER\/, .4 ,v, by.e/41% 'ADDRESS ,5 ,p/ .c� TEL. NO. �'
,. ,ram. ---
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 , < �.
Ow er, owner's agent, arc ect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
404"-- ee7
TOWN OF QUEENSBURY
531
` , QUEENSBURY,BAY NEWRYAD YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FIINSPECTION
REQUEST FOR INSPECTION RECEIVED `///kj f J'/
NNE e11ra&4
LOCATION e 01 ;I eid
DATE 7// g j q I PERMIT# qi
TYPE OF STRUCTURE,-Ccu 4 4104 i111 d y0L
y_
RECHECK (/
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
L.-FOOTING FOUNDATION BACKFILL LFRAMING
_ROUGH PLUMBING FINAL-ELECTRICAL SEPTIC
INSULATION WOOUSTOVE/FIREPLACE —
SITE PLAN/VARIANCE REQUIREMENTS YES _ NO
REMARKS ji,71 12L f
I APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING i/
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES A -j
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 7
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION L'/
DUMPSTERISE WALLS f
FINAL ELECTR _ ✓/
OK TO ISSUVONTA 1
COMMENTS:
ARRIVE /U1
DEPART Z
/ TOWN OF QUEROENSBBURY
t^Sj QUEENSBURY, NEW YORK 12804
- TE PHONE (518) 792-5832
ING INSPECTOR'S REPORT
FI INSPECTION r
REQUEST FOR I CTION RECEIVED t p IIn
7/ 1
NAME \---Xi‘C 1\-. --SCet1LS2.j •y. I
•
LOCATION ( lak,'-Q� t p
DATE PERMIT/ 91 -",9 i()_
TYPE OF
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL_SEPTIC
INSULATION WODUSTOVE/FIREPLACE
SATE PLAN/VARIANCE REQUIREMIITS YES rt NO
REMARKS /
•
3
l
l
PROVAL
N/ YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT y
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATI G
BASEMENT INSULATION/DUC ORk '#
INTERIOR TRIM/PRIVACY ''ORS
FINISH FLOORS:
BATH/KITCHEN WATER GHT ;t
OTHER FLOORS SWEE-BLE 1
OTHER FLOORS CAR' TED
STAIR CLEARANCE/- LINGS
HANDICAPPED ACCE
SMOKE DETECTORS
BATHROOM FANS/ OLEHOUSE FANS
ALL PLUMBING .F XTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: --r _.___
//46.445 04
ARRIVE Ailill�
DEPART ait7Alar
,,, • iit ,
.� ' L
TOWN OF QUEENSBURY / �� j�,
BUILDING AND CODES DEPARTMENT G
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT <,
EQUEST FOR INSPECTION RECEIVED 2 )IL I
AME )1"0 \ Lir.11 C L . l v 0 t.;
OCATION ( LLJ f 1t,ceitiu-: i/—
ATE Cv(3 q I PERMIT # q i` q 2-
YPE OF STRUCTURE ,2 � ,( ��� .,�h� , < ait .
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING �
JOIST HANGERS
JACK POSTS/MAIN BEAM ;
IRESTOPPING
WALLS
CEILING
'IREWALLS
!EATING ROUGH-IN f
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTE OR R-
FLOORS / R-
WALLS / R-
CEILING �r` R-
DUCT t`.
WORK OR PIPING IN UNHEATED
SPACES
,EMARKS:
IRRIVE (1) (1->
)EPART = �� i
IN CTOR
LAKE GEORGE
as,4
WAY
36'
3'Z
1 µ S3
01
I 54'
RESIDENCE
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a1 QI
m
21
Go' 1-
3i
/
II lot
et]SNED 32'
I I
TOWN OF QUEENSBUR\ I GARAGE
RECEIVED CAPPoR.I NEW GARAGE 2d
14'K22' 24'x a4'
24' ----�
MAY 101991 '-L'
24�
20'
r I bEMOLtSHED
BLDG. & CODE DEPT„ I, 14 CARPORT j T
48' 227
wti
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11411 TWO CARPORTS 14'X2.2,'
f S1401414 13Y DeVTGD LIIJES
ARC To AG DEl4OLIS44ED
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Q-
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441 s_ /3-1/,
TOON! ScALE ; 1"= 30'
I �
2 4 o'
CLEVERDALE ROAD
OT PLAN r' O ELJ GARAGE _ 2qI xa4'
ANp bEMOLITION O Two GARPoRYS l4'
PROPERTNt oc Taw., r
44‘-1 T Lt Co
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2.x4 5,41.4.1S
16" o.c.
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III Board 4 Ea+4-e.r1 Statn5
03
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421-1.kick ;door sIckb
Pourec ir4e2ral Li)14-,,, \ I
ioo+m5 $ rencorcec i
Lin 4`n 7--8 Concre+e Block
, ' • A T
f I •
4 .. I• • 6 1
f i
Foc4-inn 1,...“-, ..""----111 1
A ein;oricipn bars
16"
5 ec-4-1 on A-A Scale : 1/2"
TOWN OF OUEENSBURN
7,r.7.rsaivpD
MAY 10 1991 1
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BLDG. & CODE DEPT i
ASphol+
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FILE COPY
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TOWN OF OUEENSBURY
.
W E ST V. L E v.
LIUILD:;,\:.-,Li' CC)DES DEPT.
REVIEWED BY ir.7„ - idle
OATE
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TOWN OF MINNS 011ARIMENT c v er,,,- ,-I ;_• ,_ ,
Owl em Ingleil ailime —
stle
compliance With am comments dad .5.,-cote'. 74"111-0'
not be construed as indicating the
plans and specifications are in full i -
......---
compliance with the code. !
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