2002-512 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201.
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: _ P20020512 Date Issued: Friday, June 27, 2003
This is to certify that work requested to be done as shown by Permit Number P20020512
has been completed.
Tax Map Number: 523400-303-015-0001-015-000-0000
Location: 652 QUAKER Rd
Owner: TROELSTRA, HARRY
Applicant: TROELSTRA, HARRY
This structure may be occupied as a:
By Order of Town Board
Storage Building TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY.
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020512 Application Number: A20020512
Tax Map No: 523400-303-015-0001-015-000-0000
Permission is hereby granted to: TRORLSTRA. HARRY
For property located at: 652 Quaker 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: TROELSTRA, HARRY
GARDEN TIME Storage Building
Total Value
652 QUAKER Rd
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
BP 2002-512 Garden Time
Construction of a 384 sq. ft. storage shed to be used as an office as per plot plan and specifications.
Planning Board modification to Site Plan Review No. 51-2000 to allow use of storage shed as an office
building.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 27,2003
(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 the Town of ueens T urs 7,2002
SIGNED BY ®� for the Town of Queensbury.
Director of Building&Code Enforcement
FILE 06/14 '02 AN 10:46 I D JOWN OF QUEENSBURY FAX:518 745 4437 PAGE 2
Building Permit Application --
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY & i
(518)761-8256
JUG 192002
A permit must be obtained before beginning construction. Permit File No.
No inspection Will be made until applicant has received a Fee Paid $E10ASOJi" �r —�. c,
valid building permit. All applicants'spaces on this Rec.Fee Paid $ t QU m`i`�`sfSUR ,
application must be completed and roust appear on the �gll�fa'l�od�d
application form. Reviewed By: C:®�`
Applicant: Garden. Time, inc. Owner: Harr Troelstra, President
Address: 652 Qua er Road Address:n—TqualEer Road
9Rn
/ Phone#(518) 79385 Phone#( ;$) — 4
t
\Y `
Property Location: Lot Number: / House Number / 652 Quaker Road
Subdivision Name: Tax Map Number:. .
V x❑Y New Building: axkbm /commercial Estimated Market Value'of Co struction:$=5,000.00
Q .Addition: residence/commercial If an Addition,what will use of new addition be?
VVV ❑ Alteration: residence/commercial
Q No change to exterior site: residence/com'l n
(� A Other work(describe )
Check Occupancylaformation 1' Floor Va Floor -Other floor Total \�
Below sq.rt. sq.it. sq.II, Square Feat
❑ Single family dwelling
VVV 0 Two fitmily dwelling
Q Townhouse
o Multifamily dwelling \ D
#of units
)b Office 384 384* Y
❑ Mercantile
o Manufacturing
Q 1 car detached garage (�
a ❑ 2 car detached garage 11
0 3 car detached garage
o I car attached garage
n 2 car attached garage
a 3 car attached garage
❑ Storage building- rw
e commercial
❑ Storage building-
residential
o Other
What is the proposed height of the structure
10 feet 0 inches '
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Hoating System: electric/ oil / gas/wood./forced hot air/ baseboard/other: NONE
Nuttier ofFirenlaces to be installed N/A Number of Wye stove tote installed N/A
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder re a ricated Unit
Plumber
Mason
Electrician
1)eclara&.W please sign below after you have carefully read the statement:
To the boat of try knowledge the statements contained in this application,together with the plane and specifications
subnr:tted,are a true and complete statement of all proposed work to be done on the described premises and that all
provision,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,pi r to a CerdficaW of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Admit Iona r or Director of Building and Codes,an As Bufff 5urvev by a I come d surveyor drawn to scale,showing actual
looation of a ew constructio .
V Daniel J. Hogan
Sig foie \ downer's agent,MWIa� ^tom
*SeeNaktta hed diag of Floor Plan.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No...................:....................Cert. 8 7-3 517 Cut-in Card No.....................................
Owner..........
Location................b. G!!'y.)�. .......... .r.......................................... .. .....................
Installation Consisting of..,�..-.�.� f //�LZL'P L/ �g ...............t..................................0.....................................A...............
.........../ . ... ...... ......................................................................................................
............................. ....................................... . .... ... ..............................................................
InstalledBy...... u .EXA—................................Lic.No..................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki pections at any time, and if its
rules are violated,the Company shall have the right to re ke th' i
............... INSPECTOR...................................
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
- 11 Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAJ
Permit No.........................................Cert. N 7 3 4 8 9 cut-in card No..........:.................
Owner...........16A
.............................................................................
L o c a ti o n..,(P-57 V ........ .............. .......
InstallationConsisting .................... .................................................................
,4WRez1v e:D
...................................... .....................................................................................................
...................................................................................................................................................................................
InstalledBy.......VIAAWA. ..............................................Lic.No..................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i;
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be'p'romptly made for inspection.
Inspectors of this Company shall have the privilege of making in ections at any time, and if iti
rules are violated,the Company shall have the right to®ry..... this Wifj,�Ate.
Date....
........ . ...... . .. .......... INSPECTOR...... ..............
.. .......................
I IM" F HUEm. V 4
JOB
SHEET NO. OF
150 Quaker Road CALCULATED DATE
-1
— --,tJ RY,NEW YORK 12804
(516)793-M70 CHECKED BY DATE
SOALE
................. ..... ......... . .....
................... ------ ................. ............. ..........................
........... .............
.........................I..
...........
............
...........-
..................... .............4............
•
. ............ 1.... ..............
................ ................
............
.eD................... ................................... ... . ............. . .................................... .........................................
........... ......................................................
JUN. .92,
............. .........I .........................
........... ................................... ......................... .................. 2802:
,gyp
. ................................
....... ........1 �11
.............T
•
.. ...................... .................................. ....................._F7............ .................................. ...........
..... ...........
............. ...........
R.. ............
.. ..... .... ............
...... .. ............... ................... ..... ... El T. ............ .......................
.... ....
P UILDIN
........ ............... ........... .. ................ ........................... ..................................... ..................................
•
............ ............ ...........
RE
VIEWEO BYII
....................................................1---1 .......... ............................................................................. ................ ......... ........................
ATE....................... ................................................ ......I I - .;...I I..........................
............
.................... ......... ............................... ........... ................................................... .................................................
..........
.....................
........................ ......................... ................................... ........................................ .........................
...................... . ............................
i ..............................................
...................... ..........!
-on.wr m P,
M. sha
...................................0 11...............
........... ........... *Mmr..F�g .-.:.............
........... .......................1...
dot W con ruef
............. ................... ............ ............................................
R-anc
..................... ................................................. .......... .......................
................................
......... ....................
............ ........................................... ...................... ........................................ ....................... .....................
.. ....................... .......... .............. ...................................... .......................... . ........... .......... .... ......
................................. ............................................ ......................................... ......... ............K............. ............
•
............... ..... ...... .......... ............
........... ........................... ......................
•
............................ ...................................... ............ ..........................................................................I...................................
.............. ..............................................................
..........
f
.............. ............ ........... .................. ........ ....... ......................... . .......... .............
......................................................
............
.............. . ............
..........
... ..............
.............................
.. .. ........................... .......
....... .................. . I.............
. ............ . ...........
............. .........
. ...........................
....... .........
V
............
FX�
•
.. ............................ ...... ........ ....
.. .. .....................
....................
........................ ........... .......
... ............ ...........
GAM,ML W411.T.(.My ffm 104 ffiff la&22S-m