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1992-178 CERTIFICATE +C]F CO1VII'LIAN'CE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 !� �y This is to certify that work requested to be done as shown by Permit No.._ 92-178 has been completed, shed (Alteration to Exi sti in Bldg This structure may be occupied as a Location 3 John Clendon Rd.... 11111111111 1 pill Omer Gerard A Kim Kais pill er fay Order Town Board "GOWN or QUEENSBURY J Director of Bldg. do Code Enforcement BUILDING PERMIT �. TOWN OF QUEENSBURY { � No. 92- 178 � WARREN COUNTY, NEW YORK N PERMISSION is hereby granted to Gerard & Kim E. Kaiser t� OWNER of properly located at 3 John Clendon Rd Street, Road or Ave. as in the Town of Queensbury, To Construct or place a Alteration to Existing Bldg 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- t . OWNE WS Address is tD ^i SAME � fD 2_ CONTRACTOR or BUILDER'S Name Dame Kingsley x 3. CONTRACTOR or BUILDER'S Address PO Box 366 Chestertown , NY 12817 d. ARCHITECT'S Name G G t7 5. ARCHITECT'S Address fD a 0 O 6. TYPE of Construction — (Please indicate by XI �^ (X) Wood Frame I i Masonry ( I Steel f 1 7_ PLANS and Specifications < No. 247 slq ft Alteration to Bldg_ as per plot plan specifications and application trt 0 8_ Proposed Use W Shed to $ 8000 PERMIT FEE PAID -- THIS PERMIT EXPIRES ARril 27 . f9 93 (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.l Dated at the Town of Queensbury^ 27th p of April 1992 SIGNED BY for the Town of Queensbury Building a nirg 1 nspector TOWN OF QLTEENSBURY REVIEWED BY : FEE PAID : , 4PI PERMIT NO . : 1994? �IJyG � c BUILDING PERMIT APPLICATION 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 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : L �8F V cCX r C�- 4- m P . O . Address : '3 o4, C L (z. PHONE.., €- . Property Location : Tax Map No . / Has there been any split of this property since October 19, 19881 Yes No X r If yes , Planning Board Review is necessary , r' Subdivision Name , if applicable : Lot No . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * ` CONSTRUCTION : $ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ft . x ft . Other work ( describe ) * Existing Building Size : * ft . x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : 1st Floor Sq . Ft . * Front Yard ft . Rear yard �www ft . * Side Yards ft . and ft . 2nd Floor Sq . Ft . * If on corner , setback from side street- * ft . Other Floors Sq . Ft . ( not cellar or basement }- * OCCUPANCY INFORMATION : TOTAL FLOOR AREA *• Sq . Ft . Primary Building - One Family Dwelling Size of New Structure : ft . x ft . * Two Family Dwelling Foundation : Multiple Dwelling/No , of Units _ ier Slab/Crawl /Partial /Full ( Circle One ) Business * Industrial Now of stories ( Habitable space ) * Other Height ( grade to ridge ) ft • If residential , no . of families : * If addition , what will use be ? No . of rooms ( excluding 'baths ) : No , of bedrooms : No . of bathrooms : Accessory Building : Primary heating system Detached Garage - One/Two Car Type of fuel . * Attached Garage - One/Two Car No . of fireplaces to be installed : * Private Storage Building Will a woodstove be installed ? : * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : ..�/ \ ., Type of construction : wood frame , fire safe , etc . .•-�r ��CJ 9 ^�/ �" Will any second- hand or ungraded lumber be used ? If so , for what ? Foundation Wall Material : Thickness : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? Will any portion be used as living space ? If so , what portion ? ^-�� Sq . Ft , Type of Use ? y Type of Roof : Sloped/Fl at4S"e Other ,,, i ' Material of Roof Sizes wood studs . "' x " ; spacing " o . c . 0 length vim' ft , Joists ( floor beams ) : 1st Floor x spacing o . c . ; span ft , Joists ( floor beams ) : 2nd Floor " x % spacing o . c . ; span ft , Overlays ( ceiling beams ) : is x " ; spacing " o . c . ; span ft . Hoof rafters : . " x " ; spacing o . c . ; span ft . Roof trusses ( pre-engineered ) : spacing " o . c . ; span ft . Exterior Wall Finish : f/ 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 : eE rcr s% r` ,y PHONE ' - PHONE ------ `� NAME OF MASON & ADDRESS : " � / /�cx a PHONE NAME OF ELECTRICIAN & ADDRESS : PHONE 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 i authorized by the owner , Signature Owner , owner s agent , architect contractor SPECIAL CONDITIONS OF THE PERMIT : By : Code Enforcement Officer TOWn OF QUEET(SBURY .� 53}1 BAY ROAD QUEENSBURY , N518) 74514447 IE1_ 'PHONE 04 B(3ILD IKG INSPECTOR ` Ski REPORT FINAL ItdSPE.CTIOK REQUEST FOR IKSFECTIOK RECEIVED, KAMEi% LOCATION. ,rq DATE �PER"IT# . TYPE. OF STRUCTUREY .-- RECfiECIC��- _-�---�- FIRE MARSHAL APPROVAL { COMMERCIAL STRUCTURECKFILL FRAMING FIRE FOUNDATIOINAL EAECTRICAL~ .SEPTIC ROUGH PLUMBING INSULATION ROODSTOVE/ FIREPLACE pp a N/A } YES NQ CHIMNEY HEIGHT/LOCATION B VENT/ LOCATION PLUMBING VE14T ROOFING__„!__.._� � SIDING DECK/ PORCH/ STEPS / RAiLI S RELIEF VALVES FURNACE/ HOT RATER OPERAS BASEMENT INSULATIGNIDUC O ~� INTERIOR TRIM/ PRIVACY ORS FINISH FLOORS -. BATH/ KITCHEN RATER PGHT__ _ OTHER FLOORS SREE BLE�_—. GTHER FLOORS CAR TED STAIR CLEARANCE/R LJ NGS� HANDICAPPED ACCE - SMOKE DETECTORS BATHROOM FANS / H O FANS TURES ALL PLUMBING IxrURES OPERATING GARAGE FIRE OOFING__ --••-- DOOR CLOSER - O iER FIRE - WALLS FATION_ _--- DUMP S TERN___ _..___.^--- -- SITE PLAN/ VARIRNCE REQUIREMENTS FINAL ELECTRICAL___- _-_ _- - --- - -�� OK TO ISSUE C /o OR C/C- J- CO 5 o, Pere C, Z c) s & C , ARR I V DEPART - I P low" o UEENSBURY ) 11 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 Y` it,,,In__ZX5pECTOR` S REPORT t IMSPECTION ' r REQUEST FUe�ON RECEIYEU r MANE LOCAT IOIi DATE S PERMIT# f ] TYPE 0 S CTUREI Az RECHECK_ FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) _FOOTING ,FOUNDATION BACKFILL FRAMING —ROUGH TIONBINGWOOOSTOVE/ FIREPLACELSEPTIC —INS REMARKS PROVAL Nf YES NO CHIMNEY HEIGHT/LOCATION, B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/ PORCH/ S EPS/RAILI S RELIEF VALVES FURNACE/HOT WA E OP RA ING BASEMENT INSULATION/DUC O _.._— ..... -- INTERIOR TRIM/ PRIVACY DO FINISH FLOORS : BATH/KITCHEN WATERTIGH _ OTHER FLOORS SWEEPABL OTHER FLOORS CARPET £ STAIR CLEARANCE/ RAILI S HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS fWHOLE OUSE FANS ALL PLUMBING FIXTU ES OPERATIN GARAGE FIRE PR00F G DOOR CLOSERS / OTHER FIRE SEPARA IONS__ FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VA LANCE REQUIR EN S FINAL ELECTRICAL OK TO ISSUE C /O OR CfC COMMENT '' e � 1 . / i7. 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P/ rZ147 F r.I ,r�wn.I. of C�cr,E.�Nse,c.�.�-T.s�, �v�.a.2a2.F,nl'� +�c,�,n,r'r�-Y, .�,� ► Ps v/S•Fn: li i I I _ fi 0 I I � G. /►�Iatt�scn `�A AP 1992 O• BUILDING & CODE DEFT. i E I ISO Clow 18.3F' LQ Ilps, I i I i I � E i Z75hn C landcn ROj2 sf i i a l _I _ I i K TOWN OF QUEENSBURY[£M DING-EPARTMENT M"V t'i OF' Eased on our limited examintlim � � � �•� J v compliance erkh our comme�s shah )ggz BU4EVUEptItY „ p} ` J olm and toolow"+tr#W as indicalitq the cauonsamINko BUILDING&CODE DEPT, REVDATE i� fr i • i LL i. y nr i; APk 1992 C.: BUILgiNG&CODE DEPT. -- i r t: v F: aW ,211,5 j i w 1 'wv I 1 i 4 �I I { i j I f