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CERTIFICATE Ou CC]► T�'LI A TCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YOhRK
•^ ? Date December 6 19 89
.Jk-' • ( C) - Gi J
This is to certify that work requested to be done as shown by Permit No. $9- 953
has been completed.
'This structure may be occupied as a _.
storage shed
L.�cx�� Luxerne Road
Ovmer Sandra
By Order 'Town Board
TOWN OF QUEENSBBURY
Director of Bldg. Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY �
No. $9� 953
WARREN CIQUNTY, NEW YORK o
PERMISSION is hereby granted to Sandra M . Beatt 1 e
1
Street, Road or Ave.
OWNER of property located at Luzerne Road l
in the Town of Queensbury,r, To Construct or place a Storage Shed ono
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-
OWNER'S Address is
Box 268 - RD #3
CONTRACTOR or BUILDER'S Name �r1
A
itn
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5, ARCHITECT'S Address
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6- TYPE of Construction — (Please indicate by X) C
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1 Wood Frame ( ) Masonry I l Steel i 1 rz
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7. PLANS and Specifications
No. 14 ' x 14 ' storage shed as per application , specifications and
plot plan ,
B. Proposed Use
Storage Shed
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g PERMIT FEE PAID — THIS PERMIT EXPIRES � ilarember 6 iog.0..-- �
t/1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the T
town of Queensbury before the expiration date.) v
rl
Dated at the Town of O.ueensbury t Clay of 11arPmhar 19 R9
for the Town of Queensbury
SIGNED BY
Sue ing arod ir,g Inspector
TOWN OF QUEEKSBURY
REVIEWED BY
FEE PAID
PERMIT NO.
BUILDING PERMIT APPLICATION
A PERMIT' MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION_ NO INSPECTIONS
WILL BE MADE UNTLL APPLICANT HAS RECEIVED A VALM 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.
s s s s s * ■ . s s a * s . s . . . s . . r s r s • � s r r r * : s s r . . r
The owner of this property
P.O. Address aX Tel.
Property Location It Z Zf RA E 1;F L . E ! 0S 104t4 ri I Tax Map No.
Has there been any split of this property since October 1 , 1988 ?
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. t
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK : ESri:YIATED MARKET VALUE OF
/ Construction of a new building CONSTRUCTION:
Addition to a building COMPLETE INFORMATION REQUIRED BELOW:
" Size of property T c3 ft x eft.
Alteration to a building * Existing Buildings( 3 ) Size..2 x ft.
(no orange to exterior dimensions)
* Proposed building - distance from property line:
Ether work (Describe) * Front yarcf t01V '/- ft. Rear yurd %50 Jt.
Side yards 75' ft. and -r?�f7 ft.
GROSS AREA OF PROPOSE STRUCTURE * If on corner, setback from side street ft.
1st Floor _, ^ ,sq. ft. * OCCUPANCY INFORMATION
*
2nd Floor �sq. ft. * Primary Building
Other Floors s40 ft* • One Family Dwelling
(not cellar o, 0as01niyrq • , Two Family Dwelling
TOTAL FLOG% AREA �� ';�J�/ sy. * Multiple Dwelling/Number of units
* Business
Size of new s�eeturer ft x +/ ft. --_
Fusindatirtr �ierlslab/crawt/partfaLfttll ' Industrial
(circle one) iher C r
•
No, of stories (habitable space)
Height (grade to ridge) ft. . If addition, what will use, be'P
If residential, no. of famines
No* of roonw(oxcUn few laths) • Acc
No* of bedroome - - • g
No. of bathrooms * — Vicarage ONEITWO Car
Primary heathq systerrn w „ _Attached Gera" ONEITWO Car
Type of fuel * � L04rivate storage buildinW
No* of fireplaces to be installed * Other
Will a wood stove be installed
Central Air conditioning *
OV* ER
BUILDING PERNUT APPLIC - TiON CONTINUED
BUILDING 34PFCIFICATION5:
T% pe of construction, wood frame, fire safe, etc.Will any second-hand or upgraded lumber be used ? If so, for what '
Foundation wall material (1r IVC Thickness �.
Depth of foundation below orade (to bottom of footing)
Will there be a cellar ? U Heated or unheated? Floor sq. footage sq ft .
Will there be a basement ?Will any portion be used as living space?
(If so, what portio � sq ft . Type of use ?
Type of roof slope flat/shed/other Material of roof � z /
Size, wood s "x " spacing " o. c4 length ft . y
.foists ( 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 " spacing o. c. span ft.
Roof trusses (pre-engineered) spacing " o, c, span ft.
Exterior wall finish .- , ~f �( of what material?
Interior wail finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION;
Is there to he 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 jJ . )P,0 I )AA 11 ADDRES5 1 �D„q�Yx,t .,S/ EL, NO, 2 L? dT
NAME OF "Ew' ADDRESS -0*9& 4EL. N0 ;4 �
NAME OF MASON ADDRESS TEL. NOw� q ?
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 am •+*-• --** provisions of the BUILDING CODE* THE ZONING ORDINANCE, and
all other laws pertaining to the propaaed work shall be complied with. whether specified or not, and that
such work is authorised by the owner. ,�'
Signature ��SLe�n". �x, `�i '.d''? ,r� - ;•
Owner, owner's agent, architect, contractor
SPECIAL CONDPPIONS OF THE PERMIT:
BY
Cwitrrct — C...: nrr ,LI —S}l 11[t I- nr lii•tG. Nf
iCONTRACT
Date
!, we , he: rt,y ae.-�c+ e¢t your Proposal to furnish all Laborand material necessary onthe premises of the
caner
c'7 .1 �r .+ � Tr, art Street in the City of 4t� G`.� -- '�r`" N . Y .
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roc+ % .� atf.+coal •�G,j 11
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The undersigned property owhf3r ragre s to pay For said work the um €a
Payable as follows S_� _ ^-- w'ith order and the ance upon completion of said work in Eu11 , or in t
days after completion.
equal monthly installments of First payment to be ode i
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The undersigned property owner further agree that , if is contract is cancelled by him or them for any reason whatso-
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ever , to pay to [fie contractor a sum of money oq to per cent of the contract price herein agreed to be paid , as
fixed , liquidated and ascertained damages without roof loss or damage .
tf
This Contract constitutes the entire understart of the arties, and no other understanding, collateral or otherwise,
shalt be binding unless in writing, signed by both gar s, at
this contract shall not become affective unless and until
1
same har been accepted , in writing.
IN µ' ITNr Sti W}iF_ f2E:t] F' the undersrRncd have hereunto ; ubsclibed their nrxnres [ tie .S .ry :. nd ye't; fW;t .rlr:r a wrxtrcn ,
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