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1991-332 t•-". CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date da(~6-€4---- r/ 19 This is to certify that work requested to be done as shown by Permit No. 91-332 has been completed. This structure may be occupied as a Stomas for Wood Location Box 210 Luxerne Rd Owner Todd & Denise Potter By Order Town Board TOWN OF QUEENSBURY ( ç4 . 11/ Director of Bldg. & Code Enforcement --r BUILDING PERMIT TOWN OF QUEENSBURY No. 91-332 WARREN COUNTY, NEW YORK •I PERMISSION is hereby granted to Todd & Denise Potter O OWNER of property located at Box 210 Luzerne Rd Street, Road or Ave. a 06 in the Town of Queensbury,To Construct or place a Addition to Ga rage at the above location in accordance to application together with plot plans and other information hereto filed and —A. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is O Same 2. CONTRACTOR or BUILDER'S Name r Same fD -s 3. CONTRACTOR or BUILDER'S Address per. 0. 0. 4. ARCHITECT'S Name GU 1 a to ro 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 144 sq ft addition to Garagb as per plot plan specifications and application ., 8. Proposed Use Store Wood $ 8.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 22, 1992 (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 thjs-- 2nd Day of May 19 91 ' r) lam ' SIGNED BY �G s� for the Town of Queensbury Building and Zoni}(g Inspector TOWN OP QUEENSBURY REVIEWED BYE REL- .. 1� i FEE PAID $ i 4co PERMIT NO. 9' MAY211991 BUILDING PERMIT APPLICATION BLDG. & 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. a a * a * * * a. a a a * a * a * a a * * * a a a a as • * • * s s * a s * : « s * a The owner of this property is: '4 VSq: P.O. Address 7 q - Z Z3 : n Property Location R)• �c w' 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. THE CODES IS: NA�LLI�E OF PROPOSED WORK: * ESr;MATED MARKET VALUE OF / • Construction of a new building * CONSTRUCTION: $ T7(), — 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. • Side yards ft. and ft. • GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor sq. ft. * OCCUPANCY INFORMATION • 2nd Floor sq. ft. * - Primary Building - Other Floors sq. ft. * One Family Dwelling (not cellar or base:-:ent .. Two Family Dwelling TOTAL FLOOR AREA.. ` u( sq. ft. • Multiple Dwelling/Number of units Size of new structure 7.±1 L.,ft x ( ft. • Business Foundation-pier/slab/crawl/ Industrial Industrial (circle one) " Other • ,No. of stories (habitable space) * \\ Height (grade to ridge) } ft. * If addition, what will use be? me_ (.wo d If residential, no. of families • No. of rooms(excluding baths) * Accessory Building No. of bedrooms • ` _Detached Garage ONE/TWO Car No. of bathrooms • Primary heating system • _Attached Garage ONE/TWO Car Type of fuel ' Private storage building No. of fireplaces to be installed * • Other Will a wood stove be installed_ Central Air conditioning ' O V' ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. [ )p O L. c r0.'vi Will any second-hand or upgraded limber be used? If so, for what? Foundation wall material 0 4.5-1`Q" Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? f' D Heated or unheated? CAA Lt��-e_c Floor sq. footage sq ft. Will there be a basement? 1`)O Will any portion be used as living space? (If so, what portion? sq ft. Type of use? Type of roof - sloped/flat/shed/other Material of roof --64?(ncl trk_ Size, wood studs y "x V" spacing " o.c. length ft. JJ 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 ,( " spacing /6 o.c. span. 0 ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish 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 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. Signature )( Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF QUEENSBURY ,G6&GC.f,Lr,4k.z BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED // NAME k dd f//� /7",Y,) LOCATION DATE 9//��/9/ PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE 'ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN, PLACE PLUMBING UNDER SLAB FRAMING: ✓ JACK STUDS/HEADERS BRACING/BRIDGING;s JOIST HANGERS JACK POSTS/MAIN' BEAM FIRESTOPPING / WALLS CEILING / FIREWALLS 1 HEATING ROUGHLIN INSULATION: I FOUNDATION WALLS INTERIOR R— FOUNDATIO WALLS EXTERIOR R— FLOORS / R— WALLS / R— CEILINGJ R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Kylai © ac-e qxi 540, ARRIVE DEPART INSP CTOR „ — . c . : u_1,.,:,,,,,4, ! , \,. „,.._..,_ ___ F I Fr, C 0 tittoi - 4 ruin iq oRFECaEl.. ,-IEDNSBUITY \\ MAY 21 1991 TOWN OF QUEENS BONG DemymENT , , \ , ' Based on our limitaSes „ compliance with puicommeets stm$ BLDG. & CODE DEPT. i ,I not he construe,u Indicating the \ ' 6 c)r CeAA-r_ \ I plans and specifications are ht compliakewo thO cods. \ . . ,,,, C._ C!,..---V , -'• ) ',1 I 1”, 1 I , , /7 C, ' i . ,,,tA \I"- • , ;k -..:N ' Nm, • .," ..— ____ ,.4 ,"s* P / ;\LI „ — , . . I - ) , !I vo0 . $ )„. r i ;1 _____---,--17-7-,----7-7-,,---,-, ;---t --i.--, - ---;:.- - , ,( .,:_,S., .-r.ccs;n0.,,,,,,c. . __ ____L,L,41•3:1-1=_-_)---,,--L-:-----------._-, ' ---.---e- , '' 7"---.- L------ , ! t --- DEPT. REVIEW 1,t• t Y ._.—\... , 1.-- N li 1` c, , DATE 1 Lir