97-520 BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 3000 No. 97520
TAX MAP NO. 52 . -1-12 . 4 WARREN COUNTY, NEW YORK
PE 2SSION is hereby grant to
3
OWNER of property located at 11.0 MUD POND ROAD Street,Road or Ave.
in the Town of Queensbury,To Construct or place a S TORACE ;IIED 512 SQ. FT.
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
110 MUD POND ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
MARSHALL, MICHAEL
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
_
( )Wood Frame ( ) Masonry ( )SteelS TORAGE SHEDS
7. PLANS and Specifications
512 SP' FT STORAGE SHED AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
STORAGE SHED - 512 SO. FT.
$ 25 PERMIT FEE PAID -THIS PERMIT EXPIRES September 26 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 Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 26 Day of September 19 97
SIGNED BY for the Town of Queensbury
Building a Zoning Inspector
. .
liutlaing 1"ennit Application
Tow,1 of Queensbul y - Dept. of Conuluini/y Development, 742 Bay Road, Qneensbnry, NI' 12804 1761-8256J
1jBUILDING . COLIC ENFORCEMENT
NOTICE Requirements prior to issuance r •
A permit must be obtained before
of this permit: PERMIT FILE NO. q / 5 a2O
beginning construction. No inspections
will be made until applicant has received El Zoning Board Action PERMIT FEE PAID$ "
n VALID BUILDING PERMIT. All • Area /Use :'l'r
applicants' spaces on this application RECREATION FEE Pi i •
MUST be completed and the signature
of the applicant must appear on the n Planning Board Action REVIEWED I }:
ilpplicalion form. ire,,,. SPR Other/ Subdivision /
Dulldi�ig Inspector
-i Recreation Fee Payment J
Applicant• tY\ic'�C'a �.1 aUs�Ol__ L ( Owner:
' Address: 1 \0 \IV\-lA OX RAJ ICOI.1 Address:
Phone # ( 5 N' ) 793 - 9 f 3S Phone # ( ) _
Prnperly•!men Hon: 110 11)1\.1,coll Pcwd Pr9 J ..•
, ulttllvlaltn Nnnll Ina Mop Millibar .-- .
iimIlon IMO I0d
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ _ Op d
residence / commercial t
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building
_ [�c
residence / commercial Single Family -we _, 'ttlhlfi�R
• Residence / Commercial Two Family Dwel,�ling
,. no change to exterior size Family DWel1isn®Cp. 0 91997
Office I
tY0t er Work (des crilive below) Mercantile TO�NOFQUEIsI�S URy
-� P e' Manufacturing , ltpINGANDCODE
(J) Other Bl1
GROSS AREA OF PROPOSED STRUCTURE: S V`oA.P \A pc
let Floor 5' i � 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) '
ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: " ;.. � /c)\ SQ. FT. Attached Garage 1, 2 car
./� Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
•
I FEET X 3a FEET Other
Foundation Type: ('nV�C`f`e---e_ Will any second-hand or ungraded
Number of Stories : 1 lumber be usad? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HE TING SYSTEM:
Number of fireplaces and/or wood stove (circle all which appli s)
to be installed: Qf Electric / Oil / Gas //WWood
Forced Hot Air i a oard / Other
Person responsible for supervision of work as regards to building
codes is :
M Name Ad�i resss Phone
�
Builder: y ` \\k� . rikVS,\i.a.( A. •
Plumber: N-2 �
e av _ •
Mason: VV\, c..Lc e_C \AAcAv`SLo.
Electrician: �� pv\
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 1/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: %14.1.Gt A.O it . gaiud.ii/
(owner, owner's agent, architect, contractor)
_.
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 2
Panel Board No Cert.N2 6 6 1 0 7 Cut-in Card No.
Owner pi(1'& /0//2S/ At 9).
Location...�./Q U PeA1D-
Installation Consisting of... (.}e V& ( .I/�S P 7 0 rC
5 r 2/4-6 6- f s CD - jai 5-ei.4-c. 76s v' d i<
Installed By 54/V C— 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 makin_ inspections at any time, and if its
rules are violated,the�� Com any shall have the right to rev ke thi�ifica .
j� �' r
Date � 9 l INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT
I
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement Dept. of Community Development Arrived \ ' _vole i ep
Town of Queensbury
rector's Initial z
742 Bay Road
Queensbury,New York 12804 PERMIT# 5D-0
NAME LOCATION DATE ID 15- q c2
�c
TYPE OF STRUCTURE ( o,
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation 1
8"clearance to sill plate
Gas Valve shut-off exposed/regulatd 18"above grade
Gas Furnace shut-off within 30 feet o within ine of site f
Oil Furnace shut-off at entrance to area
Furnace/Hot Water Heater operat'
Relief Valve(s)installed
Headroom,6 ft. 6 in.on s
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom ` `L.---q\)_C-1 161 ,
outside every bedroom 1
inter connected �� ` �� �t>,.
Bathroom fans
Plumbing fixtures �� � �� �� k��`
Foundation insulation
3/4 hour fire door/door closer 0C�;t-k, uN C
Garage fireproofing
Garage penetrations sealed �� 7
Furnace in separate room protected(in garage) ��� � ��
Light ventilation per room � ��
Safety glazing 18"or less from floor a,\
Final Electrical y c s. V
Site Plan/Variance required �"C
Final Survey Plot Plan / D�7 � /
As Built Septic System layout required / `C ` '�
Okay to issue C/C . C/Of. of Compliance) ��/ ..
Okay to issue temp. C/O(Certif. of Occupancy) ly
Okay to issue permanent C/O(Certif.of Occupancy)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT10b :i
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRAVEFIDEPARTV2)?ItIMir
REQUEST FOR INSPECTION RECEIVED: 4/
NAME a 11
s 1i i II
LOCATION k !t> tit)D Pot )
DATE CA 1s\c 1 PERMIT # `PT� �
TYPE OF ST UCTURE:
RECHECK APPROVED
N/A Y� NO
FOOTINGS/PIERS ��
v/MONNO��LIIT�T�HIC��POUR FO"3ir� 4�EITYF iirt,MEN •LAC __
THE CONTRACTOR IS RES'ONSIBLE FOR
PROVIDING PROTE TION OM 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
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-
(518) 761-8256
Il
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT 1111"
742 BAY RD., QUEENSBURY NY 12804}INSPECTOR'.iREPORT: ARR�,��> DEPART .IA'L4REQUEST FO INSPECTION RECEIVED:
NAME 11
ip. II Aif.►1-
k �LOCATION �� D ���C.) ViD
DATE PERMIT `^ 9
TYPE OF STRUC URE: 06
RECHECKPPROVED
V. Nr/A YES _ NO
FOOTINGS/PIERS , 0
u
MONOLITHIC POUR1FORM 4' / `
REINFORCEMENT IN‘PLACE # / ..
THE CONTRACTOR IS,LRESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. 1
MATERIALS FOR THIS RURPOSE OISITE _
P ',
FOUNDATION/WALLPOUR t F
REINFORCEMENT IN PLAC
r-
FOUNDATION/DAMPPROOFING i
BACKFILL APPROVAL- `-"
PLUMBING VENT/VENTS INPL CE
ROUGH PLUMBING C _ '
if
PLUMBING UNDER SLAB \
FRAMING:
JACK STUDSfHE ERS Yi
BRACING/BRTID�NG 1
JOIST HANGERS
JACK POSTS/ IN BEAM ';
1 F
AIR INFILTRATION' BAR IER
1j -
HEATING ROUGH-',IN r •
INSULATION: !
FOUNDATION' WALLF INTERIOR R- `;.
FOUNDATION WALIJS EXTERIOR R-
FLOORS I R-
WALLS J R- ,
CEILING„1 R- ‘
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
r
\L_E06 E__ c L T kY 5
•
• • • .Plo.9\s : - • ,..,-Is4 I ". Iv\9`-'Cli.`i'Ll.
•
• F-il . • I .o C 2
T(-
. • •
i
• • 411\\ -._ ti\t\y.
3 roui.s 0Q kl.ocYs' . •
L.
•
• RECE WED ,-
. .„-_\ oe,..1 .,,-s ,m.e4 c.--- is 0 c.R .
" . 0
•
•
•
. 2 x 10 ra .Nter.5 " . 11.92102,CD. I SEP 29 .1997 • .
. ,,,-1 x. - .. - ,„,,,c) 6,_ s. •• 1 ti-c-k_ - . .- - . co
L $ ---------e—T-7--------r-----;-----r-• . . _ •
•
..
L....a s. to • 4\x.:1.:(0.e r S; 0(..:).e i:_,....>\-1,/\.di La- 0,,,,-.d-
• co
\ TOWN OF OUEENSBDUERY
• . 4C . DeA2LE-_ "TiNCY--_ 61-0a.6 ui\ OF__K- VkDE'ie__,. Q.- • . •
. •
. ....7----... _i FILE COPY
. ... .. . .
,...,...._..,.......„.....: _,......„.„.„...„....,..„....s...,
._,
Ba';wQ1iorlINourSgifRY:ited:iexe 11-1711.Dfillinabo.f1G..DEPnARTMENT 23
0
. <
TOWN 1>
r-
o
....... o
. I conrpharte wth our Comments shall c
xi
; / I I . , I .not be costrued as liulicating the
i
., , plan;and spec?fro' ns are in full
A I 0 t 1 _ 20FP Ow*gab the ode.
__ 1 _r___1_....,...__,..11. ._,_I_. _.____. .__I__ ...1....__.:.l.__.... I J. .....A...... _.1..1.__.,..._.7_7_ 1. f_.._ _. _.t.._ % ( L-
i _1 L _I. .1._ I -_i_. I. .1. 1, I_ 1 1 I I i I I t
j 1 j --r 1 r "r• •
--I- --I-- ( - -1---1-- --1-1.7---1----"--"1".
•
TOWN OF Qii .7., RY
BUILAING ,:;. 4 -1
tr_.—;00',,,
jt‘,. /. ,1,_ EPT -0
1(\(pr 't U e i Lii 6-)
m
REVIEWED BY ..., ,./7r
• cD
.-,
DATE Aglitriii
, Pr
b 'A-"E_.3
(---n71 --D 0 D V 1 S--
L.,
ip
r .
egi . ...
, pr. _i_r____ ...mni. ,.
/ 1
.____,.._.‘.
-( ./ . .A ... 1 i T—ti t 1 .
0_
i4 ti, - 111qq. i . . g
ji___
•
Ell
F-
•
m i11-1 �.�
a/E ,avls
•
d19
V f l / `� _
N
in
•
•
m .
N
m
•
cn
T 9 - D"- 0 S' L �•.t ` -• t \
1 .Yam., � . 4 .)0 Sdo . 10* (pc-
rh'� : John obi:Q ,,,• �""r'."'a' m
,
�C >c
;.-7 b $c n NJ
NO m
., ""''''..---..‘ate 1 -... 1".:.....'".....-... ..--,......--..—........: I 4 "
Q 6 d c� �e IIIm
I 1 %- E y -
o s�� �� Vi�� of 1-
cd
1i.-.. 1=a i LI
a -r- - - - - - - - - - - - - - - - - - - — - -
I
I1
r � !t • 1
y � 1�
eJ
a
Q/ Qj , t ,I
c57 4- _p
a
ti
-0-Y71 ° \'' '-
&" ___.2.,;
s.
u f
i
- - - -
•
•
CO
•
.1„,.. ,., ..__. IREAiv6E0 P‘___ \- )'1,._,1\4 \
, \
. . v .
• ,
....____.
•
: RECEIVED
...
•
SEP 2 9 1997 •
1
r.
2ismaTOWN OF QUEENtBoDUERY .
•
•
• .! - .
\
1
. j
/• 4-7a•,,acy.,.„.e . .. , •4.i.;- -1,..F.4.4%,.. ,..„. ,,,,11,3
i.r.5. • , c,,, . -- ift-t.
•1.1 i• Hou.Sel wei I 1.r.'5• .se•••' " I s ..,.1 r---
,.,.-.:,,
‘,'
-11
.e•—•
..) ,., - `? • S4°k-, .
5i A
0 -, -s-k • R . ._
. -
z • • w
--1--
. _. 6TogiV.*:. ' •
6 HED 1.-
a re t
I • 4i - .i --t -•l LA j • k '''".
0 ....„--
.. e-2......c.
-f-
2 az.° .
C-1-
d 0
• . .
ul a bo C1 -------
. 4- .o o zg . c'
0 '-• - sr c, -2 .
.
. ., e v 0 \•0?'4.•0 0 a 1; --,....
z ,
0 o- 41 : . 0 zc•z•-c> .
0 a --, ii 1.f.*•
j /
.041. 11 , . •.. ••
1-i•A•
•-Co=> .
se...s. •
-free. at'
C:). \\ •
-cerce. corner- VVA 301:
• .
(Oe'
C;:tf , ‘ P's' .5 .
. •
4. c.::x ..,---(0,c----, ‘0[9 •00') c\c).
N
\006 \ 9--,• c1 . .
•
. .
-../--/ __D(--•
---) ,----•
0L
Map
Of CI .5lJrNeJ-3 0 0. Parcel oS land prepo.re
_ Artiltir tehtZtlij_
•
-,7 . 1 j .LY cDift..A0.-ie. in the. Town of Quer_ns burt_i Gourd-9 of Warre
(..; i.'.: ; 16 ; :, f:.1: : c-,-ote._: I - 100 date:
Richard W. Bennett
I ;-- --I I - I