2001-595 TOWN OF QUEENSBURY
FON
742 Ba Road ueensbu NY 12804-5902 518 761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010595 Date Issued: Tuesday, January 29, 2002
This is to certify that work requested to be done as shown by Permit Number P20010595
has been completed.
Tax Map Number: 523400-226-016-0001-049-000-0000
Location: 260 CLEVERDALE Rd
Owner: DENNIS & BONNYE KUGLER
Applicant: DENNIS & BONNYE KUGLER
This structure may be occupied as a:
By Order of Town Board
Shed/ Storage Sheds TOWN OF QUEENSBURY
Director of Building& de E rcement
��� TOWN OF QUEENSBURY
A IFfeW 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010595 Application Number: A20010595
Tax Map No: 523400-226-016-0001-049-000-0000
Permission is hereby granted to: DENNIS & BONNYE KUGLER
For property located at: 206 CLEVERDALE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DENNIS & BONNYE KUGLER Shed/Storage Sheds 1,500.00
206 CLEVERDALE Rd Total Value 1,500.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans & Specifications
2001-595
STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,August 10, 2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at th o of Q ns ury• ay, August 10,2001
11 i
SIGNED BY ' 4\ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
town of Qucensbury—Dept of Community eg,NtDoad, Qucensbury, NY , <., .. "; -,7
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A permit must be obtained before beginning constrrl''ctlon0. 3 2001Permit File No., Z)C —��C5'
No inspection will be made until applicant hz'1p r 114.a-EENS3M Paid $ 00
valid building permit. All applicants' spaces 411. LING AND COD�c• Fee Paid $
it-
application must be completed and must appt Reviewed B
application form.
Applicant: ,. ,/?/7/.�1 e-// �~ -(-
�� �.,�wncr:
Address: �� l.4-' � / '� Address: ---
Phone#.( tf1 C55- 9 'i Phone#(W)r, 1- S/-a C' //1
Property Location: Lot Number: / House Numbe�/ -'� '': �-
P Y
Subdivision Name: Tax y Number: 72 g--/‘/ .9._ d-__-
/5 O
❑ New Building: residence /commercial Estimated Market Value of Construction: $
o Addition: residence/ commercial Jrs
if an Addition,what will use of new addition be?
o Alteration: residence/ commercial . sA—
❑ No change to exterior size: residence/coal / ,� f9`'-
o Other work(describe ) 4 le-c
Check Occupancylnformation 1" Floor 2"Floor Other floor Total
Below sq. fl. sq. ft. sq.fl. Square Feel
❑ Single family dwelling
o Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
o Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage
o 1 car attached garage
o 2 car attached garage
u 3 car attached garage
u Storage building-
commercial ,,
.(›ctoragc building '\
r -esidential -----1 .&-/‘
o `Other
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Beating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of 11'oodsloves to be installed
List below the person(s)responsible Cm supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaratiqu: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,arc 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,as requested by the foiling
Administrator or Director of Building and Codes,an i yluill Sur•rej!by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signahtrer owner,owner's agent,architect,contractor
/XI
RESIDENTIAL FINAL INSPECTION REPORT n , /.
Office No.(518)761-8256 Date inspection request received: l�� )/ Q�
Building&Code Enforcement -7 ° 1.
Dept.of Community Development Arrive am/pm Depart!
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME Nv\ S V PERMIT# `l
LOCATION_ DATE
TYPE OF STRUCTURE/
a'()
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake / "1 - \ ''
Plumb Vent through roof
Roof Complete
Exterior Finish Complete \\\`
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 8 in.or\more
Interior Handrails stairs both sides 3 or ore ri ers
Grade 2%away from foundation 11
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18',abov grade
Gas Furnace shut-off within 30 feet or within a of site
Oil Furnace shut-off at entrance to furnace
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than$risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or ore
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required 'J/
Okay to issue C/C(Certif of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy),
Okay to issue permanent C/O(Certif.of Occupancy)
WARREN COUNTY
I
4 3 ,
REAL PROPERTY TAX SERVICES AGENCYR CE'VED
run wan ff�tGG
A D I t �s» County Municipal Center
t , 1340 State Route 9 0 20 01
�L �` Lake George, N.Y. 12845-9803 AUG
v�fNco N��ac Tel. 518-761-6464 TO T NSBURY=SWAN
Fax. 518-761-6559 6 c or
WARREN COUNTY TAX MAP C OFFI� E'V
cc ED
AUG06Mi
REQUEST FORM FOR THE CONSOLIDATION OF TAX MAP PI 1ELS
TOWN OF QUE
BUILDING ENSBURY
AND CODE
TOWN/CITY OF (iie •ri easel
• TAX MAP NUMBER OF EACH PARCEL TO BE CONSOLIDATED** •
22 ./6 — / -22 ) V %o /d -2 - 9
./1)- lr9'n-4- Degb
wner' s �ignatu Owner' s Signature Owner' s Signature
//jZ °2
to Date Date
** ALL TAXES MUST BE CURRENT ON ALL PARCELS TO BE CONSOLIDATED.
Warren County Treasurer' s Office Verification: "
Are there any outstanding taxes on the above referenced parcels?
YES NO Verified by
Any parcels that are to be consolidated must show identical owner
deed information on each parcel .
Please be advised that any additional consolidation/split
requests concerning the above parcels may result, in a $15 . 00
processing fee being charged to the property owner.
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L Patent No.5,937,591
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IMPROVED AIR 1 ` '
CIRCULATION
available at
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■ OPERABLE Sizes Available:
� 10'wx10dx9'h
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WINDOW WITH -Wa'rr'ant 1o'w x 14'd x 9'h
y 10'w x mid x 9'h
SCREEN INCLUDED
Spacious Shelf
10' wide x 4' deep ,, +
INCLUD . 4„,:laii,Ammiash.,„\\.4,,
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Sizes Available:il I:. 71;:i::-:!_\�% .,,_i7: I:7 !:.i.'-',1; I 1 '� .4 I V� i
10'w x 10'd x 9'h �'' '
10'wx 14'dx9'h
10'wx18'dx9'h `
Spacious interior. Shelf and window included
• Easy-to-assemble kit — the perfect weekend project!
• Strong 2 x 4 construction for the most demanding snow and wind loads �"
• Real plywood siding
■ 7' high side walls and 9' high peak provide plenty of stand-tall space
• Extra-large 6'w x 7'h double doors provide easy access; 2 x 4 stiffeners prevent warping ---_,flt7.1,744,„„‹,,,,,,%_ , �.
• Heavy-duty continuous hinges and door hardware are built to last
• Pre-cut wooden floor kit included. Features plywood deck with treated framing; 2 x 4 joists are spaced
12" on-center for a rock-solid foundation! z
• Spacious 10'w x 4'd shelf included; stow away those seasonal or bulky items
• Includes operable aluminum window with removable insect screen; lets light and air in, keeps bugs outs !,_
Frame measures approximately 2'w x 2'/'h
• Includes two vents for improved air circulation
■ All fasteners, hardware and simple, illustrated instructions included
■ Paint and shingle to complement your home (paint, shingles and caulk sold separately)
■ 10-year limited warranty
QUESTIONS? 800-844-9273
1 ITEMS FURNISHED BY HOMEOWNER ii
Cubic Feet Actual Floor i Exterior paint or stain
Nominal Size Weight Size Door Siding Trim Siding Roof Attn:Sales Associate
StorageS Shingles** I Shedmaster Item#
10'w x 10'd x 9'h 749 1670 lbs. 10'w x 10'd 6'w x 7'h Plywood Siding 1 qt. 2 gal. 5 bundles 0-95317-18306-5
Ai.10'w x 14'd x 9'h 1049 2063 lbs. 10'w x 14'd 6,w x 7'h Plywood Siding 1 qt. 21/2 gal. 7 bundles 0-95317-18307-2
10'w x 18'd x 9'h 1349 2456 lbs. 10'w x 18'd 6'w x 7'h Plywood Siding 2 qt. 3 gal. 9 bundles 0-95317-18308-9 1
Additional Window Kit 0-95317-18808-4 i
All sizes are in nominal dimensions.This building must be erected on wooden floor(included)or customer's concrete floor(not included)per mstruptians
*Vent holes not pre-cut. **Asphalt or fiberglass shingles;three bundles cover 1 sq. (100 sq.ft.).