1990-612 ..-• .
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COMPLIANCECERTIFICATE OF
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... TOWN. OF QUEENSBURY
k... WARREN COUNTY, NEW YORK
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Date September 17 19 90
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This is to certify that work requested to be done as shown by Permit No. 90-612
has been completed.'
This structure may be occupied as a storage shed
Location 9g 1111401-10 Vita 11)14
/1- DAVID G. DALEY
Ovvner ...,
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By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No 90-612
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to DAVID G. DALEY
28 Buena Vista Drive
OWNER of property located at Street, Road or Ave.
col
in the Town of Queensbury,To Construct or place a Storage Shed
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
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction-(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 240 sq ft Storage Shed as per plot plan, specifications and application
and in accordance with area variance 128-1989.
8. Proposed Use CD
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Storage Shed m
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15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 14 19 91
(If 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 14th Day of September 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning In
TOWN OF QUEENSBURY
REVIEWED BY
`glek
1spat FEE PAID $
11.7#4 PERMIT NO. �� r ��� ( n
BUILDING PERMIT APPLICATION SEP 121990
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • • • • • • • • • • * • • • • • • • • • • • • •
The owner of this property is: 27 f3v C. '- pp) lr
P.O. Address 2 di' ,l3u&r✓jA- 1/,'cJ` Pt' Tel. 7 5'
Property Location S'Wwr Tax Map No.. 79 /3 / 9
Has there been any split of this property since October 1, 1988? / oC 11//
If yes Planning Board Review is necessary. yes' no �,tfa YP /
11
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
P. I2, t' ,
NATURE OF PROPOSED WORK: • ESC:MATED MARKET VALUE OF •
Construction of a new building • CONSTRUCTION: S 7y'0
Addition to building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property /l'-v ft x "ft.
Alteration to a building , *
.(no change to exterior dimensions) • Existing Buildings(3) Size 26 ft. x 7o ft.
• Proposed,building - distance from property line:
Other work (Describe) • Front yard. 411, ft.' Rear yard 7 ft.
• Side yards y, ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor 2 yo sq. •ft. • OCCUPANCY INFORMATION
•
2nd Floor .N/4. sq. ft. • Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA 2,10sq. ft. • Multiple Dwelling/Number of units
Size of new structure /Z ft.x 2 o ft. • Business
•
Foundation-pier‘nc /partial/full • Industrial
(cir a one) DC Other ,S'717•e 1�G S
•
No. of stories (habitable space)_ •
Height (grade to ridge) /o ft. • If addition, what will use be?
If residential, no. of families AIM •
No.-of rooms(excluding baths) A/fr, • Accessory Building
No. of bedrooms i✓/�4 • _Detached Garage ONE/TWO Car
No. of bathrooms )✓/0- •
Primary heating system • _
Attached Garage ONE/TWO Car
Type of fuel •
Private storage building
No. of fireplaces to be installed T/o,,✓6 • Other
Will a wood stove be installed a •
,,
Central Air conditioning, .iJ •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. 4-c-1-X
Will any second-hand or upgraded lumber be used? If so, for what? /J
Foundation;wall material 5-tieg,g. Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? fi/D Heated or unheated? U�if'zi/K..j/ Floor sq. footage 2 KG, sq ft.
Will there be a basement? A.1,0 Will any portion be used as living space? J,Ui9
(If so, what portion? sq ft. Type of use?
Type of roof sloped/fla dliffP other Material of'roof .
Size, wood studs L- "x 'f " spacing2 " o.c. length, ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) $- "x _ " spacing " o.c. span ft.
Roof rafters 2._ "x 6 " spacing j(, o.c. span / z. ft.
Roof trusses (pre-engineered). spacing " o.c. span ft.
Exterior wall finish 4,00 4 of what material? f-
Interior wall finish Alp AM.-,
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? If so will a Fire-rated door, enclosure,
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 !l/4/9-
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)
NAME OF BUILDER p, ADDRESS Qzvv, ,e TEL. NO. ‘. 1/5'
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
clans and specifications submitted, are a true and complete statement of all proposed work to be done on
he described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
ill 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, contractor
I
IPECIAL CONDITIONS OP THE PERMIT:
BY •
TOWN OF QUEENSBURY '
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- 1 30
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 01 9a
NAME
LOCATION - a
DATE / PERMIT •# 9 c
APPROVED
,; / YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING f
BACKFILL APPROVAL ;)
`ROUGH PLUMBING .
XF'RAMING I
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS 1
' .
WALLS i
CEILING 1 If
FINAL INSPECTION: 1i
CHIMNEY HEIGHT
ROOFING II /
SIDING [ • ./
EXTERNAL PORCHES/S FPS
STAIRS—CLEARANCE RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PR VAgY DOORS
i FINISHED FLOORS
GARAGE FIREPROO ING 1
DOOR CLOSER(S) b
SMOKE DETECTORS E
FINAL ELECTRICAL;'INSPECiTION . . . .
FINAL APPROVAL OF CONSTRUCTION . . .
k OK TO ISSUE C/O! OR C/C ; ---
A SIGNED CERTIFICATE OF \OCCUPANCY MUST BE
OBTAINED FROMbTHE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIIE D!•
REMARKS: il \\\ .
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ARRIVE 3 .' ,
DEPART 3 Ov V
INS ECTOR
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s STANDARD METAL ROOFING
OVER PURLINGS
2X6X14 16 " OC
2X4X10 2q " OC
2XL+ X8 2q " oc COPY
FILE
TOWN OF EEILLr URY
BUILDING P® EPT.
EViEV/ED BY !
DATE. /he)
TOWN Of WOW WOK 08104104
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CEMENT 12 ' WIDE X 20 ' LONG X 'f " THICK ,
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\__/ L .__, OCTOBER 4, 1989
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SEPTIC BUILDING . FOR WHICH
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VARIANCE IS
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NEEDED
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DAVID DALEY
. . GARAGE '41-12't....
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_ ' 28 BUENA VISTA DR . - Cti
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