1989-159 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
rr Date— May`s,
Thistis to certify that work requested to be done as shown by Permit No.__ _ 89 - 152 _
has been completed.
This structure may be occupied as a Storage Shed
Location v Avi a t -i on Road
Owner Ernest & Marianne Martindale
By Order Town Board
{/ 7OWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBUR'Y �
WARREN COUNTY, NEW YORK No l "�- -
PERMISSION is hereby granted to ERNEST & MARIANNE MARTINDALE
OWNER of property located at AVIATION ROAD '
Street. Road or Ave.
of
in the Town of Queensbury, To Construct or place a ADDITION TO DWELLING & GARAGE
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.
[2.'
710VV?4:ER'S:Addrsss is
SAME
CONTRACTOR or BUI LDE WS (Name H
WILLIAM TROMBLEY
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3. CONTRACTOR or BUILpER "S Address ,.
WEST MOUNTAIN ROAD
QUEENSBURY , N . Y , 12804
4. ARCHITECT'S Name
H
5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
( ) Wood Frame ( } Masonry ; } Stee{ ; }
7. PLAIN$ and Specifications 'C
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No. 8 ' x 24 ' addition to dwelling & garage as per plot pla ,
and application .
S. Proposed Use
O
Storage Shed a
cic incl
s16 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES november 1 fg 89 a
(If a longer period is required an application for an extension must be made to the Buildin and Zoni h
town of Queensburybefore the ex 9 ng inspector of the H
expiration date,) H
H
Dated at the Town of Queensbury t _ 14th Day of. April '19 89
�___:�
SIGNED BY 9 O
for the Town of Queensbury n
Building and Zo irg Inspector to
t.,,,,
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32"
PERMIT
TOWN OF � UEENSI�3URY APP1- IC �1' I N TOR BUTLDINC, AND ZONING. PERMIT
,a
TOWN OF QUEENSBURY
Fee Lei e�{ . RECEIVED
} R ev,ie�ue , 4
- vy G- APR I I jgpq
Fee Fce,Zd �_ � -
s r pa..te Ib�ued r'' � BLDG, & CODE DE1�1.7I LD I NC AND CODES O1 :1 Al2Ti . f
DAY and HAVXrLAND ROADS RD 1 DOX 93
PURENSBURY, New YORK 12804 P"e&x o4t Nam
Tel . ( 518 ) 742-5832 Rxc -2Q4
.. .* w w w w � i w r w ! w w ! 1. w } w i '� i w w i • w w w w i • i i w i x ■
A PERHIT MUST Up OBTAINED BEFORE L' k.GINPIING CONSTRUCTIONNO INSPI O I (7fJS
WILL BE MADE UNddrIL APPLICANT HAS RZCEIVI: D A VALID I3L; II.DINC PERMIT .
All applicable spaces on this application must be completed and the
*0 "na tare of * the applicIN 9zant ap* ear * o * the Te* erso ,saki° of this * Sheet .
oil lze owner of this property is : 7, v
0 . o . Address !//r9`j—r f rY ,/F'�7 fL� vi I# uv!? T E L . 7�
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[1roperty location
TAX MAP NO .4 � /
leas there been any split of this property since October 1 , 1988 ? !. L '~
yes too
if yes , Planning Board Review is necessary .
SUBDIVISION [3AMC , IP APPLICABLE LOT NO .
The person responsible for supervision of work as regards Building Codes is :
add
N d1k ML P . O . ADDRESS TSLd, NO .
11ame of builderw)lg 1 . r'r .n �3 ��� Acidress !� % .�faJJ Tel 79
14"Me of Plumber 3', Zdressad
Tel
Name of Mason Address Tel
IiATURk OF PROPOSCD WORK: Z0N1r4L: I. NI�ORAilt.'1' ION ( vtricer usa on1v )
wronatruc [ iofi of a new building + ZONING DESTCNATION OF PROPERTY
'dodj:::�Adjicion to a buildifsg # PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alt.. ration to :a Luilding REVIEW REQUIRED — PLANNINGBOARD 'ZONING BOARD
( [so cle.,lxgu to aaxt � rior (tiinen:si.ons)
Ock,ur work 1': ancribs) ' SITE PLAN REVIEW # APPROVED DATE
GkOSS AREA OL•' PROPOSED. `+TRUCTURn • VARIANCE 0 APPROVE DATR
"
1st Floor /fit sq ft .
Remarks :
2 n d P l o o r sq f t . ,. Cotoana L'i'l . I�l1'O1c1111'L"IL}[vt la! f?U I1a1 D 111'LU41 .
ft .
S1•e.0 of prol,� rt x y rt
Other F` loor5 sq ft . + Laciutinc} lnuil�3ii «] ( r1 si -•.' 1 a }C r- t .
dd�
{ not ccIlar or b;= &IQmQnc
TOTAL FLOOR AREA_/'Lo gr 5q Et ' 1�xi:» Li1sU OLA ! lairu} (:: 3 UZ.
ar
ice.: or' new ::truce rs to �: ft
l•`oa�.[,d:acian-pit ..1a crawl/L.)arcialtfull Na:olao:iud builaing , di::t: :lncu s: row larula+rrcy line:
circle one ) Front ywrd ft near yard ft
Nvdd of scorie (I"bitable s134Ce) s`c
lk vighc ( a rad&a: to rich '� ) w Sid.: yards rc :and
1 ] ft ' If on cornar , t:iCl�;ack Xrom SicZu :: er- e:Le ft
Zi residential . no. of families
No * of rooms texaludinal b:ath3 ) ocCu'A 4cY INFORMATICN
t1o* of budroolns pRIMAR.Y DUILDINC -
No . of b:achrocu[:: L-----ahc family dwelling
Pri,t[ury hua. tilu2 Two family dwaallin�]
'L'Ylau oaf fu.: l Elultilala: aiwa:llidng / Number of units!„
Now of fi,rclalacu:: cu bu irasc.:allcci Paruwncnt oacup:ulcy
Will :a wUNal :itOVO Yam i.li:: t;. 11a:d"' '1'riari�:1e:nt a]GCYifiaJacy
L`unts"L Air colulitirining :' * llusinc:5s
+r
(iU ( LDltVG STYt C, PRZ1 LARY 51'Rt1CTUl2C Inckusirial
Ocher
lcsneh Conteat�Z,c.r.,ary Lon cabinw It "ddis. i,an , wleat
t,aiMcd ranch M"nSiL.ia Dui+lex
riplit iuv.:l Old style Buwj"low
&:,;apes Cad Cottzsu.! +Ot1wr " ACCESSORY BUILDIMC--
C o i an i.a l 1:GW i'ow1L Housewr Lse:cachad a uri4ge/ona cur / twQ Czar}
{ CIRCLL' ON13 PL.E_ALE ) w Aettachuu U arUgw/040 Cizr/ two C,ar/ cua'
w ■ • w w w w a ♦ w w • w w • : w' 'ri4iaty SLoraaga building
k '. 't' IMA7' I: LS HARVr.'14 VA1. 1) 1i OF 'r Othc
LON :.t'i' kUC'1' IUN ��
] NVOt',htATTON ON DUTL..DINC SPECIPTCATIONS , ON REVERSE SIDn OF Or"ICa ..1111: , '1'O pE COIWLL~']'1iD1
Form BPA 10198 v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc , i+eiwj)
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material Thickness 14 -
Depth of foundation below grade ( to bottom of footing )
Will there be a cellar ? ,. e,� Heated or unheated? Floor sq . footage sq ft
Will there be a basement? fr/1� _will any portion lie used as living space ?
( If so , what portion? Vshe
t . - - Type of use?
Type of roof - sloped/flaother Material of roof
Size , wood studs acing "o . c . length ftJoists ( floor beams ) 1st . "x " spacing "o . c . span £t .
,7oists ( floor beams ) 2nd . floor "x spacing "o . c . span ft _
Overlays ( ceiling beams ) "x spacing "o . ca span fr. .
Roof rafters "X spacing/ . o . c . span ft .
Roof trusses (pre- engineered} spacing " o , span ft .. c �r
Exterior wall finish. �/�1r1/� FA-`5 Of what material?
Interior wall finish 5 �'"4-� p _
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? �r If so will a Fire-rated
door , enclosure , and self-closing device be provided? /Z�p
Will a flue-lined chimney be installed? Height above roof ft .
Depth of chimney foundation .below grade ft .
Depth of fireplace hearth ft *
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system )
D E C L A R A T 1 0 N
To the best of my knowledge and belief the statements contained in this
application, together with the plans and specifications submitted, aloe a true and
complete statement of all proposed work to be done on the described premises and
that all provisions of the BUILDING COME, THE ZONING ORDINANCE, and all
other laws pertaining to the proposed work shall be complied with, whether specified
or not, and that such work is authorized by the owner.
Signature
Owner, owner's agent, architect, C_bwftractor
SPECIAL CONDITIONS OF THE PERMIT :
II
s
TOWN OF QUEENSBURY
,BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792~5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION CES END/
NAME
LOCATION
DATE I PERMIT #_
APPROVED
.YES NO
FOOTING/PIERS
MONOLITHIC POUR, FORMS
FOUNDATIONJDAMPyPROOFING
BACKFILL APPROVAL,
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN`•.
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
4NAL INSPECTION:
CHIMNEY HEIGHT r
ROOFING
SIDING
EXTERNAL PORCH9S/STEPS
STAIRS-CLEAR14CE & RAILS
PLUMBING FIX�URES/RELIEF VALVE_
INTERIOR TR.YMIPRIVACY DOORS_
FINISHED F?fOORS
GARAGE FIR PROOFING
DOOR CLOS R (S) -
SMOKE DET CTORS
FINAL ELECT)ICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED? rr rrr
REMARKS :
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INSPECTOR
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