95-578 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, -NEW YORK
Date molmmhpr ' ?7 ' 19 95
This is to certify that work requested to be done as shown by Permit No. 95578. •
has been completed.
This structure may be used as a 2-CAR DETACHED GARAGE
Location SE9EELLY RD .
Owner MIDDLETON, ROBERT &
By Order of Town Board
TAX HAP NO. 16 . a--30. 3 TOWN OF QUEEN SBURY 3.
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 8000 TOWN OF QUEENSBURY 95578
TAX MAP NO. 16.-1-30. 3 No.
WARREN COUNTY, NEW.YORK -
MIDDLETON, ROBERT &
PERMISSION is hereby granted to
•
SEELEY RD.
OWNER of property located at Street,Road or Ave..
2—CAR DETACHED 'GARAGE
in.the Town of Queensbury,To Constructor place a - -- - -
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
- SEELYE ROAD
CLEVERDALE, NY
2. CONTRACTOR or BUILDER'S Name
HOWENSTEIN, WILLIAM • - - - -
3. CONTRACTOR or BUILDER'S Address - -
SEELYE ROAD
CLEVERDALE-, NY
4. ARCHITECT'S Name -
NYB
5. ARCHITECT'S Address
6.TYPE of Construction—(Please indicate by X) - - -
_ 2-CAR GARAGE -
( )Wood Frame - ( ) Masonry (• )Steel ( )
7. PLANS and Specifications `
624NBQFT 2-CAR DETACHED GARAGE AS PER "PLOT PLAN SPECIFICATIONS
8. Proposed Use -
• 2-CAR DETACHED GARAGE _.
October- 4 ' 97
$' PERMIT FEE PAID-THIS PERMIT EXPIRES 19
(If alonger 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.) -
5 October - 95, " - -
Dated at the Town of Queensbury this Day of. - " ' _ - 19 - -
SIGNED BY _`ST .Q t for the Town of Queensbury
Buildin an Zoning Inspector - . - - - - -
I .
Department of Community Development - ; Reviewed By:
Building & Code Enforcement. ,, 1 ; Building nsp Sl�
Town of Queensbury ,i44,
` ' Permit I /
742 Bay Road �'
Queensbury, New York 12804 Fee Pa d $®� �` 00
(518) 745-4447 T
Building Permit Application
TOWN OF QUEENSpBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. id�TAME L
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 application form.
Applicant: 11/�`il / Gt �sG'.y.‘"" Owner: A 4"7, 0 "L'
Address: g‘ k CL Aer# JA.7' Address: G te--- � Ple'17.
Phone # (JX )�•.- - 9f2g Phone # ( ) -
Property Location:
. . Tax Map Number_ - -1
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial )0 Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing •
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor s ft If ADDITION, what will use
q• . of new addition be? :
2nd .Floor sq. ft .
Other Floors sq. ft .
(not unfinished cellar or basement)
ACCE SORY BUILDINGS:
Detached Garage 1 , 01J`
TOTAL FLOOR AREA: Z,' SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage..Building
Other� _ -
FEET X 2, FEET
Foundation Type: aerate- Will any second-hand or ungraded
Number of Stories : I lumber be used? If so, for what?
1
(habitable space only)
Height (grade to ridge) : /7'Y" feet TYPE OF HEATING SYSTEM:
Number of fireplaces a d/or woodstove (circle all which applies)
to be installed: d 4- Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for superyision of work as regards to' building -
codes is : "- / A.-z -�=�e„? . .
Name Addres s Phone p
--Builder ,* /(. -45 4: i -'L G4=L .a4ei A5.1,. 6 "-/,Zf -
Plumber:
Mason: ' • . /1 - i, • . .'f
Electrician:
DECLARATION: 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, 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 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, an AS BUILT PLOT PLAN by. ,
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: Cz� /7/-,z,..i.-4,42.-- /.
(owner, owner's agent, architect, contractor) .
.ti.
40110116& TOWN OF QUEENSBURY
ti: , ' BUILDING & CODE ENFORCEMENT
i� i ;r 7, ' 742 I BAY ROAD
�;� J QUEENSBURY NY 12804
(518)745-4447
ARRIVE: ! l 2 ° �� DEPART: i, !/ `7A INSP: ��J
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION�� REQUEST RECEIVED: j`/Z(I ri
f
NAME /'�'G4 �4/
LOCATION 5e t-b /6:9,
DATE ,4e'/s(frs-- PERMIT {1 96--676
TYPE OF STRUCTURE t). > A4
FOOTINGS / FOUNDATION _ BACKFILL FRAMING V/
ROUGH PLUMBING _ SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/$1 YES NO
CHIMNEY HEIGHT/B VENT/HE:IdHT
f
PLUMBING VENT
ROOFING Y
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS / V(
RELIEF VALVES 1
FURNACE/HOT WATER OPE T NG
r
INTERIOR TRIM/PRIVACY ORS
FINISH FLOORS: 1
BATH/KITCHEN WATERT HT .
OTHER FLOORS SWEEP I `�
OTHER FLOORS CARP TED /
STAIR CLEARANCE/RA LING /.
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIX RES
FOUNDATION NSULATION
GARAGE FIRE PROOFING V
DOOR C RS
J
0 CAI II
I),
I) if
FINAL ,E CTRIC L ��5-eLv
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR / \i(
' .,F.i:s'-.t
TOWN OF QUEENSBURY M t:,
BUILDING & CODE ENFORCEMENT ,; '
531 BAY RD., QUEENSBURY NY 12804 '" '
ro-,,�" ..
INSPECTOR'S REPORT: ARK' `�JDEPART• INT� �
REQUEST FOR NSPECTION REC'IVED: 1
NAME
LOCATIONQ
DATE ! O ` 0'O PErR =IT # ^ 1.5�
TYPE OF STRUCTURE: be V^- c2 t Z A-&
RECHECK APPROVED
N/A YES NO
_•OOTINGSYB.IERSE
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACD.
THE CONTRACTOR IS RESP• SIDLE F2R
PROVIDING PROTE TION FR'M FREEING
FOR 48 HOURS FOLLOWING HE PL CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO'E ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC"
FOUNDATION/DAMPPROS ING _
BACKFILL APPROVA _
PLUMBING VENT/V NTS IN PLA E _ `
ROUGH PLUMBIN'. ___`_.._______
PLUMBING UN'"ER SLAB
FRAMING:
i'CK STUDS/HEADERS
,:RACINGJBRIDGING
JOIST HANGERS
JACK POSTS/MAIN B AM
AIR +' FILTRATION BARRIER,
HE' ING ROUGH-IN
ItSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
' TOWN OF QJEENSBURY'B. ILDIIJG D PAR MENT
'. Based on o r li 1ited xamiInatio',
comp)ance with our' omm•nts hall
not b:con rue as i dica ing fe'
plans:nd specif ratio s ar-.in f 11
(...,__Tc , 0,
comp)ance with the odnir ' ' ,
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-RECEIVED
OCT o41995
TOWN OF QSUEENSSI,iRY
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