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1990-572 'CERTIFICATE OF OCCUPANCY - TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • ?;\ Date alta 19 qi ,This is to certify that work requested to be done as shown by Permit No. 90-572 has been.completed. This structure may be occupied a a torsige hni1din (cold) • 0 t" )<Meadowbrook Rd Location WALTER DOMBEK Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement ' BUILDING PERMIT TOWN OF QUEENSBURY No. 90-572 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to WA T.TF.R fOMRF.K O cn OWNER of property located at f34 Meadnwhrnok !load Street, Road or Ave. in the Town of Queensbury,To Construct or place a Storage Building 4=. 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 Lake Shore Drive Lake George NY 12845 p 2. CONTRACTOR or BUILDER'S Name 1:17 t�1 Glens Falls Insulation cv 3. CONTRACTOR or BUILDER'S Address CD 8 Sagamore Street Glens Falls NY 12801 4. ARCHITECT'S Name co 5. ARCHITECT'S Address O Cr 6. TYPE of Construction—(Please indicate by X) 0 O ( )Wood Frame ( ) Masonry ( ) Steel ( 4 Metal by Parkline Co. 7. PLANS and Specifications No. 1466 sq ft Storage Building (cold) as per plot plan, specificaitons and applicaiton and in accordance with Site Plan Review Type II 50-89 (8/21/90) 8. Proposed Use Storage Building (cold) r+ 0 ate (1) 275.00 91 cr PERMIT FEE PAID —THIS PERMIT EXPIRES September 13 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p~ town of Queensbury before the expiration date.) Crq Dated at the Town of Queensbury t Da r 19 90 SIGNED BY _ - for the Town of Queensbury Building and Zoni Inspector TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT Pate- • F'.ec,i ever ;;A � Rev iewedT77---7 i . 's. a : 14;c. .53 . . . • • Fee Paid SAS>y d ' � _ ti- I .SD BUILDING AND CODES DI:PARITUI Date :I44ued ,BAY and NAVILAND ROADS RD 1 Box 98 • 1 "0 Perim it No. (UEENSBURY,NEW YORK 12804 ' go: ✓'IN - .��I� & CODE D r� Tel (518) 792-5832 Ext 204 .. .* * * k * * '* * 1 * * * * * * * * * * * * * ' * * * * * * t * a *- a * * * ■ A PERMIT MUST BI OBTAINED BEFORE BEGINNING CONSTRUCTION. NO ' INSPECTIONS )FILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. , •: - All applicable spaces on this. application mustlbe completed and the , si.puature of 'the applicant must appear on the 'reverse . side of :'this sheet . * •* * * k * * * * * * * * • *. *. * * * * * •* * * * * * * * * .* * *• * * * * The owner of this property is : . Walter Dombek .. - . - • ` . P'. o. Address Lake Shore Drive, Lake .GeorgeN.Y,. 12845 Property location 84.'Meadowbrook Road . ..-_.. .._ . _ TAX MAP .No..;59 % .2 ,M` i.:14 Has there been any split of this property since October1, - 1988?" - /, • NO . es : .no 1 f yes , Planning board Review is necessary: :'.r:�•.' :. ! ~', b SUBDIVISION NAME; II' APPLICABLE The person responsible • For supervision of,..work as• regards' Building 'Code s : ' •'' James H. Minnick jr 8 Sagamote . Street Glens.,Falls N.Y.,.;T28p:' 93=825,4 -f NAME P .O. ADDRESS F ! , TEL. ., . Name of buildeG.F. INsulatiori Address 8".Sagamore..•St....G. F ; . Z'e1 .73'9 -8254 Name of Plumber Address Tel . Name of Mason D. Baldwin Address Fort Ann 1282/ Tel /92-13/1 . r NATURE Or PROPOSED 6ORK: . ,; ZONING INFORMATION (Office use only) x Construction of a new building ZONING DESIGNATION OF PROPERTY _Addition to building .. ,. . * PERMITTED PRINCIPAL PERMITTED ACCESSORY - Alteration to a building -. . # , . 1 (no change to exterior dimensions) * REVIEW REQUIRED PLANNING BOARD ZONING.BOARD_ ,_____Other work (describe).... _ .:___..... SITE PLAN REVIEW � APPROVED'. _DATE_ — r .. _ - . i . GROSS AREA OF PROPOSED% STRUCTURE ; VARIANCE H. ;•••APPROVED. : :-DATE: .: - 1st Floor 1466 sq ft . fo v..k Remarks:: . • - f9 2nd Floor 0 ir sq - f t �� , COMPLETE.IJ 1?OL:MATION kuouI1cED 1l1:l..UW. 1 . 3 Acres r,�y Size of property . ft X It. Other Floors 0 sq ft : b rp, 1j, misting building(::) Size . • ft X ft. (not cellar or basement) • 4_20 ' . x 1001 , 1-20 ' x 80 ' TOTAL FLOOR AREA - 1466 sq f t . • Existing building(s) Use Mini-Storage ' :.'ize of new stru '14 . 66ft x 1OOft . ----=- Fourndation-pie 4iiiill++'' yawl/partial/full * Nropo::ed building, distance from property line reit: one) ' 1 , Front yard 179 ft Rear yard 2O ft . N . of stories (habitable space) �� + Side yards LU ft- and -ft Meight (grade to ridge) 8 6 ft. * If on corner, setback front side street___.__�ft if residential, no. of families No, of rooin:;)excluding baths) ' :OCCUPANCY INFORMATION No. of bedrooms , PRIMARY BUILDING -• No. of bathrooms One family dwelling ' Urinary heating systemNONE * ''wio family dwelling Type of fuel NONE ii,r Multiple dwelling 1 Number of units • No. of fireplace:, to be installed Permanent occup:urcy • Will a wood stove be installed? ` Transient. occupancy Central Air conditioning? r s X Business . (3UILDING STYLE, PRIMARY STRUCTURE ,' Industrial Ocher - !::,itch Conteiip;riary Log cabin if addition, .what will use be? ' Raised ranch Mansion • Duplex . * "' Boat Storage " split level Old style U . ow * Cape Cod Col-toga Ocher *' ACCESSORY BUILDING- Colonial how 'town House * Detached garage/One cur/ two car/ car ( CIRCLE ONE PLEASE )` * Attached garage/one car/.two earl_____,;,C. * I a * Private storage building ' ESTIMATED MARKET VALUE OF • Other r • CONSTRUCTION $18 200 . 00 L]NFORMATTON ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! ' Form BPA 10/88 vi ' BUILDING PERMIT APPLICATION' CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame; •f`ire safe,etc. Metal'•',Btii,ld'•ing by Parkline Co.-. _ Will any second-hand or ungraded lumber be used? If so, for what? NO . Foundation wall material Concrete Thickness 4" . 1 Depth of foundation below grade (to bottom of footing) 18" • • . Will there be a cellar? NO Heated or unheated? 0 Floor sq. footage 1466 sq ft- • Will there be a basement? NO Will any portion be used as living space? . NO • • (If so, what portion?. sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material of, roof 26g. Metal Roof . , • Size, wood studs "X " spacing "o:c: length ft. , • JoiSts(floor beams) 1st. floor "X ", spacing •, "o.c. span it. ,joists (floor beams) '2nd. floor . "X "; spacing "o.c. span ft. ' Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. .y Roof trusses (pre-engineered) spacing "o.c. span ft. Self-Supporting Metal Framing`. Exterior wall finish White Of what material?. . 26g. Metal Interior wall finish Galvalume , 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? 0 If so will a Fire-rated. ,. door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? , Height_ above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. • Water supply Municipal or private well NONE : ,.. - - 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): • DECLARATION 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. : • , • - • ,?i .d . Signature James H. Minnick U� Owner, owner's agent, architect, contractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *' * -* SPECIAL CONDITIONS OF THE PERMIT: . Ri • \ • T 1 . By .. ,' • ' - ..t., .. .'.'7 , rj ;.E TOWN OF QUEENSBURY 531 BAY ROAD '' QUEENSBURY, NEW YORK 12804 • ` '" TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME �JG 1��,,_ (�-i1i l LOCATION , Y(// DATE 5'/ PERMIT# 9G5 S7- TYPE OF STRUCTURE S �� a? RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) -'FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/Ai YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING r>e, SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT1 OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED I STAIR CLEARANCE/RAILINGS 1 / HANDICAPPED ACCESS SMOKE DETECTORS 1 / BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING ` ] DOOR CLOSERS n OTHER FIRE SEPARATION / 1 FIRE/DEMISE WALLS DUMPSTER / SITE PLAN/VARIANCE.REQUIREMENtTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C 1 COMMENTS: / ���jxt,u6,3 �Gy�L ZS I, J�'tT t I , L 1,15 i L- it 'OUT ARRIVE %-emu DEPART >:4/() r NSP TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION�� RECEIVED /C1�/f 2 NAME /Z-e-`G'& LOCATION ,f4' Q/,l/(d-ed DATE /2 PERMIT # f 9C1 APPROVED YES O X FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING ? BACKFILL APPROVAL , ` ROUGH PLUMBING f FRAMING ELECTRICAL ROUGH-IN INSULATION: rf FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: / CHIMNEY HEIGHT / ROOFING \ j SIDING EXTERNAL PORCHES/STEPS !, STAIRS-CLEARANCE & RAILS'1, PLUMBING FIXTURES/RELIEF liKALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS , GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS , FINAL ELECTRICAL INSPECTION g _FINAL APPROVAL OF CONSTRUCTION, - OK TO ISSUE C/O OR!C/C r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE II BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! ` REMARKS: ARRIVE 2, 7o DEPART /S SPECTOR M/ES f West eLEv n I00 I O p l5� 0 gorE: go dewai, au ISO1!Tit 4 EASr ENV i-T M Nss %4 Meadowbrook Mini Storage Design loads: Self-Suppoeting System by " PARKLINE INC. " ` 50 lbs Snow Load 20 `lbs Wind Load Concrete; 3000 lbs PSI 6/6 10/1.0 Wire Mesh. #4 Rebar Doors:;Steel Roll -up 9-8' x; 7' 3-3 xzl 7; �koQf Insulation: "Metal Building Insulation ii with Vapor barrier. I TOWN QUEENSBURY BUILDINiG ! REVIEWED BY DATE O tr C N %v N Lg N Clans Falls Insulation Co. Strew Seal Builders GiLIENS FALLS NEW YORK 12601 q%%. - -HEATED BUILDING - ECCC: NOT-APPLI( r O f� a 35e69 rE ac►�E° SCALE: DATE: FILE COPY NIEAC�u/6fZ�oK IHt i�i SroRA�F MrcAdow t3tooK ¢©ad 1 DRAWN BY GHCGKE-D *Y- T_b_AT9"P-- M NuicK g-24-40 DRAWING TITLE �Qt Nib, j �L�t2 �PLA IU CA to C S',-Cx-� O�V 0RAW04 �!. APPROVED BY: DRAWN BY: REVISED: TOWN QUEENSBURY BUILDINiG ! REVIEWED BY DATE O tr C N %v N Lg N Clans Falls Insulation Co. Strew Seal Builders GiLIENS FALLS NEW YORK 12601 q%%. - -HEATED BUILDING - ECCC: NOT-APPLI( r O f� a 35e69 rE ac►�E° SCALE: DATE: FILE COPY NIEAC�u/6fZ�oK IHt i�i SroRA�F MrcAdow t3tooK ¢©ad 1 DRAWN BY GHCGKE-D *Y- T_b_AT9"P-- M NuicK g-24-40 DRAWING TITLE �Qt Nib, j �L�t2 �PLA IU CA to C S',-Cx-� O�V 0RAW04 �!. APPROVED BY: DRAWN BY: REVISED: ED w 01, f, 'o Ape- 41 VA Po -562> 13 7 -0 X /00 J) 14 k i 46 14 4o -c >o,, 1:5rlAI6 45; 001e.4 Par?- Z> -It 4-1 /Ale, i 4jzl A004 Y Q V &44rilll ld4l.40 OF 0 EEKSBURY 2:.0 X 40 u 27 1990 tos4 AN, ' a- G a c is -/40 Al —loning Ad a Date.� lst� -0 3 7 -88 toe lvo-a s4e.�p e - 2,0 App*0 vieb vy DRAWN BY DATE )z far,,, �4� REVISED DICAW"qu NUMMM Alp "5