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97-290 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date , , , , 19 97 This is to certify that work requested to be done as shown by Permit No. 9729 has been completed. - • This structure may be used as a GARAGE ADDITION (SHED ROOF ) Location ' 5 COBBLESTONE E DR. Owner :-IEHDERSON 311FFtiEY & HAP By Order of Town Board HAP TAX NO . 54. '-.5-1 i : 1 5 _ TOWN OF U ENSBURY (::( 4/ Director of Building & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 1000 No. 97290 TAX MAP NO. 54. -5-11 . 1WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HENt11'B SON, -JEFFREY & OWNER of property located at 5 COBRT,ERTnNU D.R Street, Road or Ave. in the Town of Queensbury,To Construct or place a GARAGE ADDITION (SHED ROOF ) at the above location in accordance to application together with plot plans and other in ormation hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is DONNA 5 COBBLESTONE DR. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name WOODELL, THOMAS 3. CONTRACTOR or BUILDER'S Address LAKE GEORGE, NY 12845 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION ( ►Wood Frame ( I Masonry ( )Steel ( I 7. PLANS and Specifications 20W.SQ FT RESIDENTIAL ADDITION (SHED ROOF ) AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use GARAGE ADDITION (SHED ROOF ) $ 16 PERMIT FEE PAID —THIS PERMIT EXPIRES June 12 1g 99 (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 12Day of June 19 97 SIGNED BY for the Town of Queensbury Build' nd Zoning Inspector ���b E-s7`49��Building Permit Application /m �(T 1r Yi) D own of Queensbu,y Dept. of Community Development, 742 Bay '' o P y Road, Queensbury, NY 12804 1761-8256J 'NOTICE o BUILDING & . CODE ENFORCEMENT - . Requirements •prior to issuance A permit must be obtained before . of this permit: PERMIT FILE NO. beginning construction. No inspections PERMIT FEE PAID$ ) IQ► will be made until applicant has received 0 Zoning Board Action a VALID BUILDING PERMIT. All • Area /Use applicants' spaces on this application RECREATION FEE PAID$ MUST be completed and•the signature ❑ Planning Board Action of the applicant must appear on the REVIEWED BY: SPR / Subdivision /Other Building Inspector 4pplication form. nk.g,a,. J Recreation Fee Payment Applicant: Te --e / -I-,TD rc rta- evirdet,_Owner: Address: L-5"C c40 10 J e--- )r t w- Address. 0) 0 e-e rlis bvr1 N . Phone # (IL) ..2.W ..`. D L Phone # ( ) • Properly Location: Li 1 '' • Subdivision Name: Tax Map Number• Soot ion flcwlc Lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUEF THE New Building: CONSTRUCTION: $ a - / residence / commercial // Addition to Building: residence. / commercial OCCUPANCY. INFORMATION: Alteration to Building: • Primary Building - residence / commercial Single Family Dc Residence / Commercial Two Family Dwel i ��/ no change to exterior size . FamilyDw 1 i� J�N Office Other Work (describe below) Mercantile ®4 �997 Manufacturing TO"OF OUf= elS3URY 7G O h 0P • BUILDING ACID CODE GROSS AREA OF PROPOSED STRUCTURE: 1st Floor & If ADDITION, what will use sq._.ft. of new addition be? : 2nd .Floor - - _ P , Other Floors sq. ft. -�--` KV V (not unfinished cellar or basement) ACCESSORY BUILDINGS: . Detached Ga age 1, 2 car TOTAL FLOOR AREA: l':' d//D SQ. FT. Attached G ge 1, 2 car Private ge Building SIZE OF NEW STRUCTURE: Commerc� age Building w • FEET X 010 FEET Other Foundation Type: sahe . Will any second-hand or ungraded ' Number of Stories:. / lumber be used? If so, for what? (habitable space only) f Height (grade to ridge) : /`,V feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: I Electric / Oil / Gas / ,4lood Forced Hot Air / Baseboard / Other Person responsible fo superviy i n of work as regards to building b' codes is: 2 ''liar Voa 4/� . _-- Name J dresss Phone Builder: ��fl�a�-� �= Y�o� _ ��/e� 6 �/7 e �� �1� Plumber:. Mason: , Electrician: DECLARATION: Please sign below alter 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 Uwe 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 oh premises. Signature: fV, c,, .0e-- -�Z_DU-nu G /.(------ • wner, owner's agent, architect, co actor) TOWN OF QUEENSBURY • (��� LBUILDING & CODE ENFORCEMENT } 742 BAY ROAD � QUEENSBURY NY 12804 (518) 761-8256 r J ARRIVE: ./ S� DEPART: " INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPEC/� j(ION REQUEST R�CEIVED: NAME '� , �G/L LOCATION �d y DATE 7/ 7,6/Z-egeAP20 / _� PERMIT TYPE OF STRUCTURE djv/P'}&� FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION • FINAL ELECTRICAL _ WOODSTOVE OR FIREP CE N/ YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FI SH DECK/PORCH/STEPS/RA LINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: • - BATH/KITCHEN WATERTIGHT OTHER FLOORS •SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT P N OK TO ISSUE C/O OR C/ (518) 761-8256 TOWN OF QUEENSBURY 401b ' BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR�' DEPART-12 /6 INT\ '-- REQUEST FO INSPECTION RECEIVED: NAME I7b/✓'t1C445-CYt/ LOCATION igi)GI-6e 4.)0 /h -- • DAZE /2-017 I PERMIT A 9 f ,9_g0 TYPE OF STRUCTURE: • RECHECK APPROVED N/A YES ' NO FOOTINGS/PIERS r-- MONOLITHIC POUR FORM • REINFORCEMENT IN PLACE • THE CONTRACTOR IS RE ONSIHLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. • MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE • - ROUG PLUMBING V/ P MBING UNDER SLAB RAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM V AIR INFILTRATION BARRIER _ _ HEATING ROUGH-IN INSULATION: • FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- _ FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R • - • • (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 `?; / z INSPECTOR'S REPORT: ARRv. [/� DEPART.J 4(0 IN'j i� REQUEST FOR NSPECTION REECEIVED: NAME 4N wSde LOCATION /6(./Z�G t.e / -t �j/� DATE '7/(2-07 PERMIT a `(/1 .2/ `•` TYPE OF ST CTURE: RECHECK APPROVED • N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMEN -IN PLAC'_ _ THE CONTRACTO SPON-IHLE FOR PROVIDING PROTE r FRO'" FREEZING • FOR 48 HOURS FOLL.'•ING HE PLACE— MENT OF THE CONC• 'T . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE • FOUNDATION/DAMPPROOFING _ SACKFILL APPROVAL PL MBING VENT/VENTS IN PLACE _ R UGH PLUMBING - LUMBING UNDER SLAB FRAMING• CK STUDS HEADERS RACING/BRIDGING �_ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ _ FOUNDATION WALLS EXTERIOR R- FLOORS R- _ WALLS R- _ CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R • - /�" .O&) (518) 761-8256 r r'\'"^ TOWN OF QUEENSBURY r,• :-x-' :'` BUILDING E. CODE ENFORCEMENT , ;4':r 742 DAY RD., QUEENSBURY NY 12804 w�s• µr _il 5 00 INSPECTOR'S EPORT: AR DEPAREI _ IN't*L' REQUEST FOR INSPECTION RECEIVED: ti NAME 2140 6//S) //If LOCATION ylciew7z2,1,/c— '.,/- DATE 7//7 PERMIT A 7` ?` TYPE OF STRUCTURE: RECHECK q APPROV D 1 N/A Y S NO FOOTINGS/PIERS ..----"e) MONOLITHIC POUR ORM REINFORCEMENT IN LACE I _ THE CONTRACTOR ISRESPONSIBLE/FOR PROVIDING PROTE TYON FROM FREEZING FOR 48 HOURS FOLLO7ING THE PLAACE— MENT OF THE CONCRETE. i MATERIALS FOR THIS ‘PURPOSE IN SITE FOUNDATION/WALLPOUR\ I REINFORCEMENT IN PLAN / _ FOUNDATION/DAMPPROOFING 1 - BACKFILL APPROVAL G4 PLUMBING VENT/VENTS IN ICE ROUGH PLUMBING I \ _ _ PLUMBING UNDER SLAB FRAMING JACK STUDS/HE`ADERS - BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER _ HEATING ROUGH-IN I \ p \ INSULATION: I \ FOUNDATION WALLS INTERIOR R- \ FOUNDATION WALLS EXTERIOR R- FLOORS q� R- \ WALLS it R- CEILING 1j R- DUCT WORK ORJPIPING IN UNHEATED SPACES R- • \ • 2 (518) 761-8256 -x, TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 "*'.g: INSPECTOR'S REPORT: ARR/+"1 DEPART i•/a INT V • REQUEST F /R INSPECTIONQG RECEIVED: NAME JOI LOCATION Ceib ce r`7rDAJC £v n DATE 7/43/ 7 PERMIT f{ g7' Q ;- �iC! TYPE OF STRUCTURE: RECHECK APPROVED N/A YES Illy FOOTINGS lig, MONOLITHIC POUR FORM REINFORCEMENT I PLAC'. THE CONTRACTOR IS • :PONSI:LE FOR PROVIDING PROTE TIO' :•M REEZING FOR 48 HOURS FOLLOWI';r THE ,PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PiRPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING _ - PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM _ AIR INFILTRATION BARRIER _ HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- _ FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R • - DUCT WORK OR PIPING IN UNHEATED SPACES R- .• 13E0E_ VED 4, JIJN .04 1997' TO , CC :...3URY eUILOiNG. AND CODE ' 1 -'••-- eC7,21,:f.v.. .‘ c„, r- ,-- „(,), c6 i\ - • 'z-i - / 2 P. -tc.: W . 1 c:r -ty- _.‹.. e....%ej lift i I -70 c I. —M - -..,... . --- • _ 1::: 611' ----"r- I b • 60,4- ,........- ' / i/ / Re/,•_,- It/ o Pli . •••,.. 0, a \i/ '1 jRECFNED JUN .041997 BUILDING AND CODE 4 M rn- das k UO►N; t'� EZ C 0A3 TUB-NE_ F Scale: 1 " = 50'