2000-101 BUILDING PERMIT
DV
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 6200 Building Permit No. 2000101
TAX MAP NO. 48 . -3-34 . 1
Permission is hereby granted to SCHERMERHORN, RICHARD JR.
Owner of property located at BLIND ROCK ROAD
in the Town of Queensbury,to constrict or place a STORAGE BUILDING
at the above location in accordance to 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.
Owner's Address:
& BETH 79 MASTER COMMONS NORTH
QUEENSBURY, NY 12804
Contractor or Builder's Name:
SCHERMERHORN CONSTRUCTION
Contractor or Builder's Address:
43H HUNTERBROOK- LANE
QUEENSBURY, NEW YORK 12804
Electrical Inspection Agency:
Type of Construction:
STORAGE BUILDING
Plans and Specifications:
900 SQ FT STORAGE BUILDING AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
STORAGE BUILDING
25 March 21 2002
$ PERMIT FEE PAID--'PHIS PERMIT EXPIRES
(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 To wnt f Queensbury this 2 lDay of March 2000
SIGNED B \ for the Town of Queensbury
Code Enforcement Officer
Building Pennit Application
?'own of Queensbuly - Dept, of Cottttntutity Development, 742 Bay Road, Queen.xbur , NY 12804 176%-82561
NOTICE BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance
A Per:)iit must be obtained beforo of this permit: ' ERMI FILE NO
lx)ginning COONtfFfCttOn. No it1Nj)C(a10[)$ G,
will lx)n ade until ftPPlicunt has received C] ?Asting I3aarti ACtloix 1'!'/trLJJf'/•Lis/'AtU.IS�t}
a VALID BUILDING PERMIT. All Area /Use
applicants' RE,CREATION FEE Pitl $
PP spaces on this application
MUST be completed add.the signature Q Planrxittg Board Action REVIEWED BY:
of the applicant-must appear on the SPR J Subdivision 1 Other
plication form. 7h,-k)- Drrllding IrasPector
Recreation Fee Payment
Applicant: i e- ` VIA e.!'-poi N Owner: --' S)4r✓t
Address: 19 i S� S S f,v.�nQti} Mofflq Address:
Phone Phone # _co E.7y
` -
Propetyloca tion: t3!i AI D 3 13 V.,/Subdivision Name: Tax Map Number
Section Block lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ ( 9 6A
residence / commercial- �r
Addition to Building:
residence- / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
. 'residence / commercial Single Family Dwelling
Residence'_`:%Commercial wo Family Dwelling_
no change: to exterior size t Famil ellOn, YE
Office � .at =i
A -
X Other Work (describe below) ,i Mercantile
Sta rC.._ It_ e-5 lnw` Ma Dwelling
1 6 2000
V X-GROSS AREA OF PROPOSED STRUCTUg � Other T0V NBC, 00�, `�SBUR,I
S I o Pcg q P_ 5�i o!° iING AND CODE
1st Floor. . . . . . . . gOq sq. ft. If ADDITION, what will useof new addition be? :
2nd .Floor: . . . . . , sq. fit.
Other Floors . . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 200 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
�y FEET X so FEET x Other
Foundation Type: C.oy%e- e, Will any second-hand or ungraded
' Number of Stories : } lumber be used? If so, for what?
(habitable space only) /1/0
Height: (grade to ridge) : 110 feet: TYPE OF HEATING SYSTEM: ��
Number of fireplaces and/or woodstove (circle all which applies) /t>
to be installed: W Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person respon,�s{ib`le for supervision of work as regards to building *
codes i s : _-- K i C.1n SGI,�e� w t;r L.o d'it.1 I cL9-0(ol Y
Ndfne
Builder: . Q . sic:J,, -CvvtP f�,c,ram,, ddresss �R e p�77
Plumber:
Mason:
Electrician: /f}
DECLARATION: Please sign beloiv after you have carefully read the statentent.
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 witli, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we sliall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; d n to cale sho . i actual location of project on premises_
Signature:
(owner, owner's agent, arcyffect, contractor)
a '
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GENERAL INSPECTION REPORT
( 518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: '3
Building&Code.Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive 3'71, anilvm Depart am/pm
Inspector's Initialg- tj—
NAME: 611— PERMIT#
LOCATION:
TYPE OF STRUCTURE: SL
RECHECK
N/A YES NO COMMENTS
otings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respows le
providingotection fro ng
for 48 hours owing e cement
of the concrete.
Materials for this purpose n site
Foundation/Wallpour—Reinforcement in Place
Foundation/Dampproofi g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough PlumbingI
Heating RoughIn
Insulation
Reinforcement
n Plac
e_
n'in Pa ce
Place
'or respon'
otection fro in8
hours
cement
concrete.
this purpose n site_
MaJIT30ur
D,pp ppr on g
Approval
7
r v
Under Slab
Vents i Place
r
Ven
-In
Foundation Walls mernior R-
tjoWalls
Exterior
, nor
Foundation Walls Exterior R-
T I
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Fran-dng_
Jack Studs/Headers
Bracing/Bridging
Joist Hangers�._
Jack Posts/Main Beam
Air hiffitration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed 1— 1
Fire Wall 2,3,4 hour
Firestopping_
GENERAL INSPECTION REPORT
( 518)761-8256
Town of+Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive ���am/pm Depart am/pm
/ Inspector's Initials"
NAME: PERMIT#
LOCATION: ;L DATE
TYPE OF STRUCTURE:
RECHECK.
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is-responsible for
providing protection from freezing
for 48 hours following the placeme t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundatio n/D ampproo ling
'+- — --- - -
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla s
Rough Plumbing
Heating Rough In
Insulation
Foundation Walls Inrior R
Foundation Walls erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or�piping m
eat spaces R-
Proper Vent,Attic Vent.
Framing
Jack Studs/Readers
Bracing/Bridging
Joist Hangers
Jack Posts[Main Beam
Air hifiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
C H E R'M E R H �0,'.R N
CONSTRUCTION . CORPORATION
43H HUNTER BROOK LANE •QUEENSBURY,NEW YORK 12804
(518)798-0674 • FAX(518)743-9653
� 56 - .
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TOM U QUEENSMY BUIUNG DENTMENT
t3ased on our limited exaninaWn,
com, Oiancevith our wwm'b shall
not be construed as induce the
plans and sPedfOWS are in KA
compliance with the code.
7
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MAR 1 5 2000
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APPROVED BY:
DRAWN BY
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DRAWING NUMBER
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MAP REFERENCE:
CROSS ROADS PARK APARTMENTS
MODIFICATION OF AN EXISTING SUBDIVISION
BY VAN DUSEN & STEVES
DATED OCTOBER 24, 1995
LAST REVISED MAY 29, 1996
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ASPHALT PARKING
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FLOOD ZONE INFORMATION:
THIS PARCEL LIES WITHIN ZONE PANELAREA OF INIMAL 360879000208 EFFECTIVE DATE:OF THE FEDERAL EJULYE 6C 1984.
MANAGEMENT AGENCY MAP, COMMUNITY#
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