1990-721 • •
Afj .1
40+ •
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 9/
(DS4 C #
J This is to certify that work requested to be done as shown by Permit No. 90-721
has been completed.
This structure may be occupied as a storage building
Location A- 6( Bx 298 Old West Mountain Road
PETER BRILLING
Owner
By Order Town Board
TOWN OF QUEENSBURY
• Director of tildg. & Code Enforcement
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BUILDING PERMIT •
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TOWN OF QUEENSBURY o
No. 90-721
WARREN COUNTY, NEW YORK G,
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PERMISSION is hereby granted to PETER BRILLING w
OWNER of property located at Box 298 Old West Mountain Road Street, Road or Ave. w
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in the Town of Queensbury,To Construct or place a Storage Building
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
RR5 Box 298 Old West Mtn. Rd
Queensbury NY 12804 co
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2. CONTRACTOR or BUILDER'S Name r-
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self
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3. CONTRACTOR or BUILDER'S Address m
4. ARCHITECT'S Name •
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X
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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(x)Wood Frame ( ) Masonry ( )Steel ( ) t' cN+
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7. PLANS and Specifications m
No. 396 sq ft Storage Building as per plot plan, specifications and Q
application.
8. Proposed Use
Storage Building
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 26 19 91 a
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c�D
town of Queensbury before the expiration date.)
03
Dated at the Town of Queensbury�this� 26th Day of October 19 90 ca
SIGNED BY 1/ LL'� for the Town of Queensbury
Building and Zon ng Inspector
TOWN OF QUEENSBURY
•
REVIEWED BY ,
pA1 % : ,S.FEE PAW $ P .LAWN OF QUEENSBURY
rzy PERMIT NO. REOER,En
BUILDING PERMIT APPLICATION OCT 1 7 1990
•
• BLDG. at CODE DEPT.
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. 1
• • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • 1! •
The owner of this property is: ,•� JC4,-, //por
P.O. Address (0/t) 6 —/��/ (7,! s , -s—arx.2.57 Tel. 7�..?- 6-c.� G�7.�F,
v.Property Location Tax Map No-3S`O6,Sc7T3.�
3:/
Has there been any split of this property since October 1, 1988? / k gs- / _ zs,D,
If yes Planning Board Review is necessary. yes no
SUBDIVISION •NAME, IF APPLICABLE LOT NO. .
THE PERSON RESPONSIBLE FORSUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
-7G7A - .!�i,®fie+i)6.-
•
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF _
Construction of a new building a
CONSTRUCTION: $ ,�6.��i
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) ' Front yard , ft. Rear yard ft.
S i✓ �1�- ' Side yards ft. and ft.
v •
GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street It.
1st Floor 3 96 sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • ' Primary Building -
Other Floors , One Family Dwelling
sq. ft.
(not cellar or basement) . Two Family Dwelling
TOTAL FLOOR AREA 33'G sq. ft. • Multiple Dwelling/Number of units
•
Size of new structuregft x ft. • Business
Foundation-pier/sLb crawl/partial/full ' Industrial •
(circle one) • ____Other_____________________
•
No. of stories (habitable space)__ • _I /dila/ it
Height (grade to ridge) ft. • If addition, what will use be?
If residential, no. of families_ •
No, of rooms(excluding baths) • Accessory Building
No. of bedrooms •
No. of bathrooms •
Detached Garage ONE/TWO Car
Primary heating system_ • __Attached Garage ONE/TWO Car
Type of fuel •
__Private storms building
No. of fireplaces to'be installed_ •
Will a wood stove be installed •• __._Other
Central Air conditioning '
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. /,�`rtt^
'Wi11 any second-hand or upgraded lumber be used? If so. for what? A/
� /,
Foundation wall material Fore e2 '6� l5 �ocrc Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof slop Mat/shed/other Material of roof �5:2,6"��1r .�efi'd>.vide
Size, wood studs 6 ,"x ( " spacing/6R" 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 "x 9 " spacing,.2 / o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish /1/®A' ' of what material?
Interior wall finish
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
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 ADDRESS TEL. NO.
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
glans 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
;uch work is authorized by the owner.
Signature
Owner, owner's agent, arch! ect, contractor
IPECIAL CONDITIONS OF THE PERMIT:
BY
IUMA IW Ut VUttDUK!
531 BAY ROAD
dui' ' QUEENSBURY, NEW YORK 12804
liw- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
r FINAL INSPECTION`
REQUEST FOR 'INSPECTION--RECEIVED ��c,./0/c/f/
NAME P)r,\q n a Pc-'
LOCATION Q v 1 n /0 l Ajas-f- mil 1
DATE 9 o/q/ PERMIT/ qL/ 7;221
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TYPE OF STRUCTURE` ,
/
RECHECK . v 1"
FIRE MARSHAL APPROVAL (COMMERICIA 'T LRUCTURE)
_F- OOTING FOUNDATION B' CKFILL / FRAMING
ROUGH PLUMBING FINAL E ECTRICAL _SEPTIC
_-INSULATION WOODSTOVE/F; REPLACt
REMARKS `,.
' APPROVAL
k , N/A • YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION R
- PLUMBING VENT W.
ROOFING iC •
SIDING A
DECK/PORCH/STEPS/RAILINGS1
RELIEF VALVES 1/ '1
FURNACE/HOT WATER OPERATI'NG,M
INTERIOR TRIM/PRIVACY DOORS"
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPAB''LE t
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS I
SMOKE DETECTORS / i
DOOR CLOSERS .r
BATHROOM FANS /.
ALL PLUMBING FIXTURES OPERATI
GARAGE FIRE PROOFING
DOOR CLOSERS ,'
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL• /
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE .
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DEPART v� L.
TNCP CTf1D