93-182 •
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CERTIFICATE OF ,COMPLIANCE
TOWN OF QUEEfISBURY
WARREN COUNTY, NEW YORK
Date 9,Mte 19 9_6
This is to certify that work requested to be done as shown by Permit No.93483
has been completed.
This structure may be used as a istoActge, /shed
Location Dunhainiz Bcuj
Owner Reuben Mucchant
4-1-24 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-182 ' a
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to 1 I EN MERCHANT
OWNER of property located at Dunham'4 Bay Street,Road or Ave.
in the Town of Queensbury,To Construct or place a S. onag e Shed
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.
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1. OWNER'S Address is c7
RR1 Box 1180
Lake George NY 12845
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
Ozi
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No. 10' x16' Pne6abni.ca ed 4;onage 4hed az pen. pot ptan, spec i�cca .i ows 4
and appf c.cttion.
8. Proposed Use
Storage 4hed
p
15.00 MAY 12 94
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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 f 19g3
SIGNED BY for the Town of Queensbury
Building and Zoni Inspector
TOWN OF QUEENSBURY REVIEWED BY: ,"
COMMUNITY DEVELOPMENT DEPARTMENT 101ek
BUILDING & CODE ENFORCEMENT FEE PAID: "./5
531 BAY ROAD — h
QUEENSBURY, NEW YORK 12804 • • PERMIT NO �, . q3-/�o`
(518) 745-4447 al� ®� �l9EEP9S
BUILDING PERMIT APPLICATION RECE9'EEO
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIO. YY 'NO1 SPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID I# LDING PERMIT.
All applicants' spaces on this application MUST be completed the
signature of the applicant MUST appear on the appl catispal jv
OWNER OF PROPERTY: Re.tl e M P,ye' e.14 avrt
Mailing Address : K R / A a, //Mel LQ WP /11,'e 1 Z,S 440- I 1
Telephone Number(s) : Work Home ,y s4. 944, Other
PROPERTY LOCATION: pu M 1c11 t 'eo aav - qL LareEsc
Tax Map Number: Section 14 Block d Lot 24L
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $
V" NEW BUILDING: f Y;'eftWa
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR / 6o SQ. FT.
IF ADDITION, USE "OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: /4 0 SQ. FT. Attached Garage - One/Two Car
Private Storage Building QV 4o
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
/ 0 FEET X / 6 FEET
Foundation Type: N il o� Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?'L
(habitable space only)
Height (grade to ridge) : 9 feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies) f/e9 '
to be installed: yl4A0_ Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS"/r} O E: 5,,d,��,. ,,rig, (doe-Alt? 0-, leek® /JL1/, NY
NAME OF PLUMBER P15 ESSJ,PIfONE: . 1
NAME OF MAS ADDRE PHONE:
NAME 0 ECTRICANADDRES /PHONE:
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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
drawn to scale, showing actual location of pro 'ect on premises .
Signature
(Owner, owner's agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE 'SIDE:
4^z TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
aeheac � = • .
REQUEST FOR INSPECTION REGEIVED '� (p�/��
NAME Q/[fc I'?.1 /07Z11,%I./
NI,LOCATION qG, - CL�'_p�id �/I %,
• �
DATE (n l(nJ�� PERMIT
TYPE OF STRUCTURE Ake 4,fi. 4
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE I
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURSjFOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIJTE
• 'FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING; /
BACKFILL APPROVAL I
ROUGH PLUMBING /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB V'
FRAMING: p±,
JACK STUDS/HEADERS /
BRACING/BRIDGING / \
JOIST HANGERS / �.
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: 7
FOUNDATION WALLS/INTERIOR R- \
FOUNDATION WALLS EXTERIOR R-
FLOORS / R- \
WALLS / R-
CEILING J R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
)t;S(116/
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C
ARRIVE 3 3
DEPART
' INSPECTOR
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9
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"il oRECEf ouIVE 3: ;s
MAY I / 1993
tro fl nr4. & CODE DEPT.
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I S "b�/`� ED
-- . 4 Application
X MAY 1 11993
ta-
TZoning Administrator
OWN OF QUEENSBURY
Pro ose4 $ vt- le- /576'111""' M"P'4-71 i
deb OF CIUEENSEK
RECEIVED
MAY ; 1993
,-." 4. St CODE DEPT.
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
.� v 44 tr2plans and specifications are in full
4 ' 14 compliance with the code.�
�✓1 wood j r 4
TOWN OF QUEEPF4SflURY
BUILDING 9 C 73 P T.
REVIEWED' Y
DATE g/A9-3