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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 19 90
This is to certify that work requested to be done as shown by Permit No. 89=771
has been completed.
This structure may be occupied as a FROST WALL UNDER CABIN
Location C! EVFRDAI F
Owner JACK HICKEY
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
a
z = BUILDING PERMIT x:
TOWN OF QUEENSBURY
No. 89-771 •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jack Hickey
OWNER of property located at Cl evprda 1 e Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Frost Wall Under Cabin
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.
1. OWNER'S Address is
5 Waldron. Lane
Troy, N.Y. 12180
c-
2. CONTRACTOR or BUILDER'S Name 7
rT
-.
Joel Clugstone
3. CONTRACTOR or BUILDER'S Address
P.O. Box 90 •
Kattskill Bay, N.Y. 12894
4. ARCHITECT'S Name
5. ARCHITECT'S Address r
rC
rC
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6. TYPE of Construction—(Please indicate by X)
rc
( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No. 24' x 32' Frost Wall Under Cabin as per plot plan, specifications,
and application.
8. Proposed Use
i-1
C
Frost Wall Under Cabin V
10.00 C/C
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 90 . —
(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.) p
1
Dated at the Town of Queensbury this Day of October 19 89 c-
a
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
"!'01 N OF QUEENSBURY APPLICATION. P-OR . BUILDING AND ZONING PERMIT'
'. Recieved ' •
-
a�•�- . • . 4'OWN.OF.QUEENSBUR\
. • ..1. ' - Reviewed • RECEIVED
,r�; - S EP `2i i989
• Fee Pd �` °U .
BUILDING AND CODES DEPARTMENT Date 1-64Ued . - -
F'LD.G. CODE ®FF' .
311Y and HAVILAND ROADS RD 1 Box 9d
PUEENSBURY,•NEW "YOJ?K 12804 • Pe.'uni t Na: I_`77 - _
Tel . (518) 792-5832 Ext •204 • '
•• * * * * * * ''* * 1 * *. * * * * * *. *- .* * * * * * * * • *. A * * * * * * * * * -
A PERMIT MUST B4 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO , INSPECT,IONS
. WILL BE MADE UNTIL APPLICANT HAS' RECEIVED A VALID BUILDING PERMIT.
_ All applicable spaces on this application must be completed and the
signature of the applicant must appear on the reverse side of. this sheet . •
:t * * A * * * * * *- * * *' * ' * * . * * * *p * is * k '* * �: is *- * * * * * * *
The owner of this .property is : .Q6z 'CK•�.
P. O. Address li/4 it-d k L,G2 t'rlt 4,/& /Z/ 0 TEL.' J / t�?
Property location ae.A.r .rda( ,../c _ (MY TAX MAP NO. // / /L/ 4/1 `
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 Building Codes is :-
NAME e� P .O. ADDRESS TEL. NO.
Name of builder ,,4.C j Address Tel
Name of Plumber Address L�,�,,� e1 . Tel .
Name of Mason - :e Address be-O,� - `,Q' �.r// �'//pej Tel 6,5-.-33Z.O . .
NATURE OF PROPOSED PORK: • # ZONING INFORMATION (Office use only)
Construction of a new building ; ZONING DESIGNATION OF PROPERTY
addition to a building . + PERMITTED PRINCIPAL .PERMITTED ACCESSORY
Alteration to a building . '- ,
___(no change to axcer.ior r:imcn::ions) * REVIEW REQUIRED •- PLANNING BOARD ' ZONING BOARD.
p�Other work (de.tribe) ( fYlidki G'y'5' SITE PLAN REVIEW # • APPROVED ' DATE .
rr.11 e rr'.doceg: .., .
CROSS AREA O1' PROPOSED, STRUCTUREs VARIANCE # - APPROVED DATE '
1st Floor sq ft . Remarks:
2nd Floor sq ft . . C01•tPl.l'L'1 .IN 0kmA'1'ION. REQUIRED BELOW.
Other Floors sq ft . ' Size of property 41 ft X 60 ft.
(not cellar or basement) * Existing building(::) Size ';t,I fc X F. L.rc. .
TOTAL FLOOR AREA sq ft . - Y. - ,
Uxiscing building (s) Use
!A:40 of new structure Z4 ft X Zft ' -
vouridation-pier/slab/(rawl/partialf/full ' Proposed building, ,distance from projiercy line
• (circle one) r '
No. of stories (habitable space) r Front yard 14 - ft Rear yard /"'� ft
Height (grade to ridge) ft. + Side yard:; /0 ft and // • it
If on corner, setback from side street fc
1f. residuntial, .no, of families ' .
No. -of rooms(excludintl baths) • ' OCCUPANCY ' •INFORMATICN
No. of bedrooms *
. PRIMARY LUILDINC - -
-No. of bathrooms / • •
Primary heating systeul ,. Q/ One family dwelling
Type of fuel ,; Two family' dwelling
NO. of fireplaces Cu be installed r x Multiple dwelling / Number of units
Will awood stove be installed? . Permanent occup:u►cy •
Central Air conditioning? . /'Transient occupancy
s Business
BUILDING STYLE, , PRIMARY STRUCTURE . Industrial - -
•
... .,, „'---Other
her.�. . •r..-:.YV rr,n !`:.f1LYl '•- 1 l - ►-.:.•�
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall materialC-Ilitd•reka‘de c Thickness Depth of foundation below grade (to bottom of footing) '''
Will there be a cellar? //''t� Heated or unheated? Floor sq. footage sq ft
. Will there be a basement? //42 Will any portion be used as living space? /f�d
.,(If so, what portion? ' sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "X " spacing "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) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
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, and 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)
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, T11F 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:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST I
R INSPECTOOO RECEIVED
NAME IA-%/:�7
LOCATI/No
///Lw"��;.�� f� �
DATE 7//5"0j PERMIT # yq - 77/
APPROVED
1 YES NO
FOOTING/PIERS I
MONOLITHIC POUR FORMS
FOUNDATION/DAMPTPROOFING i
BACKFILL APPROVAL v/
ROUGH PLUMBING
FRAMING ;
ELECTRICAL ROUGH1IN ,
INSULATION: ; r
FOUNDATION
FLOORS
WALLS I, /
CEILING 7
FINAL INSPECTION: + /
CHIMNEY HEIGHT p
ROOFING / _
SIDING ;; /
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &Y RAILS
PLUMBING FIXTURES'/RELIEF VALVE
INTERIOR TRIM/PR{VACY DOORS
FINISHED FLOORS/
GARAGE FIREPROOFING;
DOOR CLOSER(S)1
SMOKE DETECTO S _
FINAL ELECTRIC L INSPECTION _
FINAL APPROVAL/ OF CONSTRUCTION
A SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FR M THE BUILDING DEPARTMENT BEFORE
THESE PREMI ES ARE OCCUPIED!
REMARKS:
\ \ ,\ ,,,)\\
} 'J
INSPECTOR
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT 0-7 ),Ij
BAY & HAVILAND ROADS �
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR SPECTION� // RECCEIVED10/ 7/91
NAME _ cL� / ETCC am(
LOCATION (/„,z40c a.
J �J�7
DATE /D 1.�ja/j 1 PERMIT # (59' -- ( / 1
l APPROVED
YES/ NO
FOOTING/PIERS "N.,//
MONOLITHIC POUR FORMS
•
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION: '
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT •
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE &. RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS`
GARAGE FIREPROOFING
DOOR CLOSER(S)'
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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