1987-378 f .:,y�iP., i.4"'.�'.� 'f✓iS
CERTIFICATE OF COMPLIANCE 77
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 18 19 89
This is to certify that work rec=uested to be done as shown by Permit No. " 378
has been completed.
This structure may be occupied as a Self Storage Bu i 1 d i n g - --
L ,cationq D B i g Boom Road
Owner Adirondack Self Storage ( Douglas Mabey )
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enfor"ent
r - BUILDING PERMIT
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TOWN OF QUEENSBURY No. 87 378
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Adirondack Self Storage /Douglas Mabey
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OWNER of property located at Big 'Boom Rd . Street, Road or Ave. 1
P
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e Building
Storage
in the Town of Queensbury, To Construct or place a Se �
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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OWNERS=GlensFallsq
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82 Big Boom Rd .
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CONTRACTOR or SulLL1ER S Name 01
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3. CONTRACTOR or BUI LDER'S Address
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4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address M
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5. TYPE of Construction — (Please indicate by X)
( I Wood Frame (,V Masonry W Steel ( 1
7. PLANS and Specifications
No. 50 ' x 194 ' per plot plan specifications and applications
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B. Proposed use
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Self storage building o
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$ 196 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January* 1 , 19 $$ �
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III a ionger period is required an application for an extension must be made to the Building and Zoning 1nsPector of the Q
town of Queensbury before the expiration date_1 la
June 87 �
Dated at the Town of Queensbury this 22nd Day/of i9
SIGNED SY for the Town of Queensbury
Building and Zoning inspector /U
TO BE COMPLETED BY BLDG . DEP T .
10WN C ! Y
// Application No * �
owsx o �ueens6t�r�r Permit Issued 19 LP
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, Fi. C1. 1 Box 9$ Zoning Designation_ L I . ja, JUN ' 98f
Oueensbury, New York 12801 Variance No .
f1 Site Plan evi w N4 . B ILDING & CIDDE [7IEPTI
Approved yT
APPLICATION FOR
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted , and such
special conditions as may be indicated on the Permit .
------------------------------- -__-----__________________-- ----------
The owner of this property is + C., A� f G-�� t �,/�j �s E1F y
P . O. Address :793
Property Location : Col- . r4 Tax Map
Stye number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSSIB�LE FOR
/SUPERVISION OF WORK ,AA "�A S REGARDS BUILDING COO�DEGyS IS :
f11L7C�� �}` S ✓/ /Y�-s� c +�' aj 1 -4)G __�`Y'.�. /Cc ^/
NamdJ P . O. Address �y Tel . No .
Name of builder I 1444 A /VC.Address IC, + OGY+1 N� / • Tel . 2� j
Name of plumber Address Tel-
Name of mason t' Tel ._' 7L 7-
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
( /Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
_Addition to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
(no change to exterior dimensions) whether existing or proposed and indicate all
Other work (describe) set-back dimensions from property lines . Give
street and number or lot number and indicate
FOR DEMOLITION PERMIT , STATE SIZE AND whether interior or corner lot . Show location
LOCATION OF STRUCTURES AFFECTED . of '"rater supply and location and configuration
of septic disposal area . ,
*
COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft XG� ft .
* Existing buildings Size ft X ft .
*
PROPOSED BUILDING AND USE : , {{]] + * Existing buildings ) Use
Size of new structure �j ft Xft
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
(circle one ) � � [ :)
Front yard ft Rear yard C> ft
He of stories (habitable s ace) * Side yards ea C ft and ft
Height ( grade to ridge s ft . * If on corner , setback from side street ft
If residential , no , of families
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No. of bedrooms PRIMARY BUILDING -
Pr of bathrooms
Primary heating system One family dwelling
Type of fuel Two family dwelling
No . of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial _
Ranch Contemporary Log cabin * _Other � lG�r !a
Raised. ranch Mansion Duplex If addition , what will uAe be?
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town house * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE } * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * —Other
CONSTRUCTION $
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS : _
Type of construction , wood frame , fire safe , etc . �`
will any second-hand or ungraded lumber be used? if so , for what? /ICJ
Foundation wall material LGSsv` ✓ Thickness l�r
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? A}n Heated or unheated? Floor sq, footage sq ft
Will there be a basement? Will any portion he used as living space?
( If so , what p ion . ___sq* ft . - - Type of use?
Type of roof _ flat/shed/other Material of roof
Size , wood studs "X " spacing "o . c . length ft .
Joists ( floor beams ) 1st . floor " X spacing "o . c . span £t .
Joists ( floor beams ) 2nd . floor '"X " spacing "o . c . span ft .
Overlays (ceiling beams ) lox spacing "o . c . span ft .
Roof rafters " X "spacing o . c . span ft .
Roof trusses (pre-engineecrre--d) spacing " o . c . span ft .
Exterior wall finish � of what material?
Interior wall finish rj )
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? f so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? Height bove oof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft * in .
water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( includ ng adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F I D A V I T STATE OF NEW YORK
County of warren
I swear that to the best of my knowledge and belief 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
prow ' ions of the UILDING CODE , THE ZONING ORDINANCEr 11 of laws pertaining to
the pr osed work shall be complied with, whether s ifi or t , an such work is
authoriz by th owner .
SWORN TO BE RE ME THIS Signature "_ .... __-
own -, er ' agent , arcnic c - contractor
day o 19
Notary Publi , warren Co ty , N _ Y .
SPECIAL CO DITIONS OF THE PE T :
By--------------- --- -------------------
r ,+ry 16,{/',/} ._,loran o/ u �E,ns ur
�I ! 13UILDING and ZONING DEPART
/ 6ay and Haviland load, R DEPARTMENT
✓ y Queensbur .f?, i Box 98
y, New York i 28Qi
BUILDING INSPECTOR ' S REPORT
NAME
ATION
I'Rt .7. t NO .
'Footing/Pier Forms ✓ APPROVED - YES *NO �
Foundation
waterproofing
$ackfill
Framing
Roof ing
Siding
Masonry Veneer
Rough Plumbing ----
Rel, ief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg - Fixtures
Gar - Fireproo.fi.ng
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA
Final Building Survey
Next schedule ins,PPcti n
(call when ready
Remarks-`
Building Inspector
��a� and-vj
fl �Jvu�n o� �ue,en .36urt�t
/ BUILDING and ZONING DEPARTMENT
I* 41d Bay and Hauiland Road, R. D. , Box 98
Gueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMi -9e�/r�pe� �f ] r�/'I�Q9�►e �-
r2 .9c%
TiUN
149
Date / Permit No . ,F
wFpoting/Pier Forms PROVED{ Y NO
Foundation d -
waterproofing —
Backfill
Framing
Roofing
S id-ing
Masonry veneer
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior 'Trim
Stairs & Rail-ings
Cellar Drain Tile
Concrete Floors
Plbge Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Wails
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled Inspection (call wizen ready
Remarks
6/86 and-vl Building inspector
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ACDIF-RONOACK
SELF-STOFRAGE
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PLOT PLAN
SC.zs,LE = 1' - 50'- o'
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49216
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51G BOOM MO. -,OWN OF- QuEE—t SBURY
WARREN CO., STATE OF NEW YORK
C HARLES J. F-0551
CONSULTANT
H ERf3ERT E. KU NE, PE:
ORAWN BY* FROMYN MANLEY
I DATE: JUNE— 20987