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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
j WARRE14 COUNTY, NEW YORK
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Date September 1 19 89
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This is to certify that work requested to be done as shown by Permit No. 89-246
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has been completed.
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This structure may be occupied as a Stta rage Building
Chvner Robert Nolan
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By Carder Town Board
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TOWN OF QUEENSBURY
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Director of Bldg. 1Sc Code Enforcement �
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BUILDING PERMIT
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TOWN OF QUEENSBURY No.
WARREN COUNTY, NEW YORK 'g
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PERMISSION is hereby granted to Robert Hula 04
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OWNER of property located at Everts Avenue Street, Road or Ave. AMC
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in the Town of Queensbury, To Construct or place a RIEPIACE ROOF r�
at the above location in accordance to application together with plot plans and other information hereto filed and r%3
approved and in compliance with the Town of Queenshury Building and Zoning Ordinance.
1 . OWNER'S Address is
2 POTTER RD .
GLENS FALLS , N . Y _ 12801 z
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2. CONTRACTOR or BUI LDER'S Name
M
EUGENE BURT IZ. SR.
3. CONTRACTOR or BUILDER 'S Address
P _ O. BOX 12
HUDSON FALLS , N . Y . 12839
4. ARCHITECT'S Name
5, ARCHITECTS Address
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6. TYPE of Construction — {Please indicate by X} C
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{ } Wood Frame I } Masonry { ) Steel { } c
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7. PLANS and Specifications No. 60 ' x 60 ' roof replacement as per plot plan , specifications , and
application .
8. Proposed Use
Roof over storage bldg .
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10. 00 C/C
$ 360 np PERMIT FEE PAID - THIS PERMIT EXPIRES November 7 79_ 89 rya
llf 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 28th Day of 09 April19_$�
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SIGNED BY for the Town of Queensbury
Building and Zaning Ifnspector
TOWN OF QUEENS}3UT2Y APPI. ICATTON FOR BUTLI)ING AND ZONING PERMIT
L�at j r �ar ,aGy
Rev Leveed u� /
NSSURY
f iiU- R�T Fee Paid t
BUILDING AND CODES U PARTME ' s Date Taaued � y/J1 - APR 2 0 1989
1AY and IIAVXLA41D ROADS RD I Lox 93
nuE>rxssu r, nrEr,r rail; 12804 Pennii t Na . II r BL.DC3. a CODE DEFT.
Tc1 . (518) 792-5832 Ext ,2D4
'* f • i * * I* * I * * it * ■ W ■ * W Yr +k w ■ a fs x Ii R • w t w ■ ■ ri rt s w
A PER14IT MUST E4 OBTAINED BEFORE L' EGINNING CONSTRUCTI4 . NO INSPECTIONS
WILL BE MADE UNTIL APPLICAT:T HAS RECEIVED A VALID BUI INC PERMIT .
All applicable Spaces on this application )''�inust be com feted and the `. .
Slsvuature of the applicant must appear on the reverse side of this sheet .
Y� ilc �: is sIc yl tle is dk �c yc 9c �Ic * k � � ok 7k Yc :K is at k at * at yt de He YG �e * �k 9e Yc .
116Ile owner of this propertyrir��operty is : /I6P � /' I rub?
V . O . Address Pa f / r Yl TEL .
property location r2 Y i r TAX MAP NO . l/Vq '`moo
llas there been any split of this property since October 1 , 1988 ? I
yes no
If yes , Planning Board Review is necessary .
SUBDIVISION NAME , IF APPLICABLE LOT NO .
The person responsible for supervision of work as regards Building Codes is :
NAME �jcea7e wj- s/e P . 04 ADDRESS TEL . NO .
Name of builder - ' 9Tr XAV 1dress 4 y 0+ j jr:: Tel
Name of Plwnbcr caress Tel
Name of Mason Address Tel
1.b'1TURk Or PROPOSEED 6fRK : W1 ZONING INFORtIATION ( office use on19 )
COn:: trUCtiOTL of a new buildingj w- .ZONING DESIGNATION OF PROPERTY
_Addition to a ]auildin9 # PERMITTED PRINCIPAL PERMITTED ACCESSORY
�Alte:r:ation to a building `
duo clti uicl+,: to exc4zrior Dimensions) W REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Uchor work (43scrilua ] Iwf�t� dad _— " SITE PLAN REVIEW # APPROVED DATE
r
GROSS AREA or PROPOSED STRUCTUREVARIANCE # APPROVED DATE
1st Floor sq ft .
* Reinarks
2 nd Floor A.^ e9- sq £ t . w Cprmsf+f Lrr IjAI Okv" IQN SLwUlrtED L12LAA1 .
ocher Floors _ Al / sq ft . S414Q of pro}l4irty �� � ft X�Ft .
tnat cellar or I� aseme nt } L::ac"U4' ncJ IauilJinj ( ;:) Si : u / LLLc H' et .
TOTAL FLOOR AREA— Al ja _sq �7� / cam'✓ LCxi;Sting bui. ldinal ( a ) Usv /yA
`_- iGs of new -:tructuroIV
X FC ~
L•'caexcadation-pier/;;la]a/crawl/L)arcial/ full Propa::ed .building , dintance iVOw IjrQjJ0rty iiru:
(ci rcla one ) r Front yard f t Roar YiAe4 'IV /`� f t
Na . of stories. (h:alait:able :lycacc) _ Side: .ards _ft :and 1 ft
!bight (yradea to ridges ) ft * r y
-
I F re:siduntial , now of families If on corner , setback frOln sick: ;'scrQo Alh , Cc
No , of roolnti ( excludincj baths) AIY9 OCCU['ANc:Y INFORMATION .
No0 of bL:drooiny A/24
PRIMARY BUILDING
Na , of b;athroomt; . -
* One family dwelling
L,rilaary huacii%cj uysL'L4, i awwwwwomTwo f"Wly dw4llinu
•rypx of Purl Multilale: Uwell%ng / Number of units
No . of fireplace:: to ]aa irt ::cµiltd Pcrllaancnt OCCUP:atrcy
Will " wood sLOVQ tow in_ L all+ud? � 'i'r:an::icns oc cuta.antry
C=Rcx"l Air coff4diclon:ing? ,A/ "
V '.A'::::.zUsinUSS
UUILDING STYLE, PRIMARY :TRUCTURE it IlndusUraal
l C:.ancla Cont.:umpor µry =,.on cabin r Ocher
JgLai*Ud ranc]L M"nsiu11 Duril4�:x . If .addition , wheat will u::+.; b u?
31,011c luva:l Old acylo Uu, ujslaw `
C ;tplu Cod coct:aga OCkwr ' ACCESSORY UUILDINC—
Ooio[ l"I t:ow Tow!"l llowze " ' - ucached rjarzage/ono cur/ two cat/ .mar
( CIRCLE CK]l: PLFlRSC ] '" AttiaChud garacju/ocla: cur/ two carf� ec► c'
r a w s r • + w a w r x a w * lxriv:ata: storage building
IiSTIMATFD MARKrol` VALUE OF * Ochar
CON S 16kUC'L' I0L!
INFORkkATTGN ON BUTLOINC SPT FICATIO . ON REVERSE SIDr: OF THIS .C111 4P* TO 91C COMPLE" C01
Form FPA 10/88 V1
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . 1601
Will any second-hand or ungraded lumber be used ? If so , for what ?
Foundation wall material � 1 Thickness--
Depth of foundation below rade (to bottom of footing )
Will there be a cellar? ,A&Heated or unheated? T- 1Z!2- Floor sq. footage sq .£t
Will there be a basement? -Will any portion be used as livinig space?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other per. Material of roof
Sizes , wood studs-"3��" spacings"o . c . length 6Y,�L. _ft .
Joists ( floor beams ) 1st , floor N.4 " X spacing 41,#9 "o . c . span ft .
.joists ( floor beams) 2nd . floor . 1&,) "4 "X.,4,;a.2" spacing _"o . c . span.,&,r ft .
Overlays (ceiling beams ) "X " spacing /"o . c . span 1� z ft .
Roof rafters "X " spacing o . c . span ft .
Roof trusses (pre-engineered) spacing Ai y " o . c . span q O ft .
Exterior wall finish rS , Of what material ?
Interior wall finish
If a garage is to be attached , describe materials to: be used for FIRE SEPARATION :
rf/
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided? 4z_- q
Will a flue-lined chimney be installed? Height above roof. y",y _ ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth-ft . A�oLin .
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( inciuding adjoining properties A6!E 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, 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 not, and that such work is authorized by the owner.
Signature
0wne er s agent , a ect , contractor
SPECIAL CONDITIONS OF THE PERMIT :
ti
By.............._ ..............-......_�_
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY a HAVILAND ROADS
QUEENSBURY, NEW YORK I2804-
TELEPHONE (538 ) 392-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION REC/EX V,E,D�,.,�,.�
NAME
LOCATION ' r �j
DATE _ PERMIT # ' 1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIO W DAMP-PROOFING
BACKFILL AlTROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- XN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE$IST S -
STAIRS-CLEARANOtE & ILS
PLUMBING FIXTURES/REL fEF VALVE
INTERIOR TRI2!j[ PRIVACY `yPOORS
FINISHED FLOORS
GARAGE FIREPROOFING _ ---
DOOR CLOSER (S)
i
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTIO
FINAL APPROVAL OF CONSTRUCT N
't
A SIGNED' CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
TlfESE P EMISES ARE OCCUPIED!
REMARKS:
NSPECTOR
TOWN aF QUEEN ,1}
BUILDING AND CODESES DE pEPARTMENT �f�r
BAY & HAVrLAND ROADS
EW YORK I280k
QUEENSBURY . � � ? 92- 5$ 32
TELEPHONE t5
BUILDING INSPECTOR' S REPORT
AIR
REQUEST FOR INSPECTION RECEIVED
NAME �
LOCATION
DATE +'�- FERMIT
DATE
APPROVED
YE5 NO
FOOTINGlPIERS
MONOLITHIC POUR FORMS
G
FOUNDATION/DAMP—
F
BACKFXLL APPROVAL
ROUGH PLUMBING
L000diORAMING
ELECTRICAL ROUGH'�IN
INSULATXON:
FOUNDATION
FLOORS
WALLS
CEILXNG
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL F0RCHEs1STEP,'5'
.
STAIRS—CLEARANCE & �T
FLL7MBING FIXTURES/''RELIE VALVE
Y NTERIOR TRIM f#PRIVACY D .RSA—�
FINISHED FLOOR'S
GARAGE FIRE FING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTR14
FINAL APPROVAT. OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPTEDI
REMARKS: ItSx+>
XN`SFEC OR
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PLAN — ROOF LAYOW'r ,0 DETAIL
SECT. C
FILLER - SUBJECT
TO FIELD ADT,.
18"X 3G"' VENT
ry -� LAr r�
MAX. TYP.
1 iI �
40 —O
60'— 3"
� NT ELEVATION
:TAL ROOFING
INS 2"x4'x 12'
T Y P.
T Y P.
CUSSES
F D. C26±)
6RAC E TY P. PLS.- 4,
OM EDGE 'A' CHORDS
/2"xe"ANCHOR BOLTS
OX.,NOT TO INTERFERE
iS TIE POINTS (Y- CEMENT
_L AROUND
lk
8" FLOCK
BALL ALL AROUND
T. HOT ROO F
'Y POLE
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4-3 -
5
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40' O"
A - TRUSS
Imo- 20 = 3"-
5 —TRUSS
TRUSS - DETAIL
SECT. D - D
KNEEWALL 2"x 6" CONST.
SCALE %Z=1 -O"
ALL STRUCTURAL LOCATIONS
AS SHOWN P/O DIMENSIONED
.11"
NOTE REACTIONS, LOADING
DURATION FACTORS
PER — GRIFFIN ENGINEERING
24"
O.C.TYP,
Y
T- T
12't MAY SE %Ufl-j ECT
TO FIELD. AD?:
TOWN OF
WILDING &
REVIEW✓ED BY �Qfis
t..
BATE -
IROOF IREHABILITATION
HARRON CABLE TV ekU#L tNG
QUAKER RD. QUEENSSURY N.Y.
CONSULTINGTECHNICAL. FERVICES
LAKB GEORGE N.Y. 12845:
DATE 4/4/89 REV. D W1
SCALE 206" = I -U" D 0 -* I
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