1991-528 41
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 01/./1 f�/.,✓,c,--/. 7f19
This is to certify that work requested to be done as shown by Permit No. 91-528
has been completed.
This structure may be occupied as 'a Storage Shed
Location Box 1088 A Bay Road
Owner Nancy Lane
By Order Town Board
TOWN OF QUEENSBURY
(---
//
Director of Bldg.• do Code Enforcement
BUILDING PERMIT
` a
TOWN OF QUEENSBURY No. 91-528
WARREN COUNTY, NEW YORK i
0
PERMISSION is hereby granted to Nancy Lane:,
OWNER of property located at Box 1::8A Bay Road Street, Road or Ave. i,
lv
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 jV
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
tV
1. OWNER'S Address is • (—
Same
rD
Y
2. CONTRACTOR or BUILDER'S Name
Danny Lane
3. CONTRACTOR or BUILDER'S Address W
4. ARCHITECT'S Name
N
O
5. ARCHITECT'S Address 4A
CD
V1
co
0.
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1,800 sq ft Storage Shed as per plot plan specifications and
application
8. Proposed Use
Storage Shed
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 26, 19 92
(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 26th Day of July 19 91
SIGNED BY � for the Town of Queensbury
Building and Zoning Inspector 5C
TOWN OF QUEENSBURY
TOWN�n I��. RECEUVED SBUIT,ii. - ---- ;
�� REVIEWED BY:1401111 /1/�� �
;;
FEE PAID: JUL 2
21991
PERMIT NO. : q 4-�2g
BLDG. 8t CODE DEE'T,
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.
* * * * * * * * * * * * * * * * * * * to * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _ 6, �+.s1 4,1
P.O. Address: gay JC 4 064 A IC et Af (a�eur rc. , 1 Y/aj/iHONE 99 3— o?sek c'z
Property Location: ,, , ,�—r. A a I Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No X9
If yes., Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
t arc,?- 01 I WA
r
NATURE OF PROPOSED WORK:: * ESTIMATED MARKET VALUE OF THE
V/ Construction of new building * CONSTRUCTION: $ la 0 0
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: 10 AbfeS
* RC) ft. x. "f () ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor NO() Sq. Ft. * Front Yard 542 ft. Rear yard- )O O ft.
" * Side Yards (Ale 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: ) Q Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: 20 ft. x X 0 ft. * Two Famiiiy Dwelling ,
Foundation: * Multive Dwelli ;g%Noo: of Units
Pi r/Slab/Crawl/Partial/Full (Circle One) * Busin ss ,,�''"
Poole O V t)?1 'o r-e��c, * . I n dy, trip
�1`
No. of stories (Habitable space) 6/ * Ot er
Height (grade to ridge) jf9'° ft. *
If residential , no. of familie : * If addi ion, 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/1
Central Air Conditioning: Yes No * dr' V PTO �0�_ A d
d
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. ,ei
Will any second-hand or ungraded lumber be used? If so, for what? i p rtL ,- ,,A
Foundation Wail Material : Thickness:
Depth of Foundation below grade (to bottom of footing) : '� .
Will there be a cellar? �l) Heated or Unheated? /AIZ /jj4/
J� l oor Sq. Footage: 4 0c
Will there be a basement? ,A1r Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use? <:: L 0 r 49
Type of Roof: S1-pedl/Flat/Shed/Other Material of Roof M e z
Size, wood studs a x / "; spacing '''/ o.c. ; length 1 ft.
-Joists (floor _beams) :-_-1st-Floor x ";. spacing ' " o.c. ; span ft.
Jo_ists__(floor-beams) : 2nd Floor " x - "; spacing -- " o.c. ; span ft._
'Overt-ays- (ceil=ing--.beams) :___ " x "; spacing " o.-c. ; span ft.
Roof__-r_afters-:----- x.__ "; spacing o.c. ; span
Roof trusses (pre-engineered) : spacing 1/9 " o.c. ; span 3 ('7 ft.
Exterior Wall Finish: ,l, of what material ? f-'0 O ;u`
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: Sejc-- PHONE 1 ycite t
3V
NAME OF PLUMBER & ADDRESS: A;,, , _- PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: ` �' r� ( PHONE 7`$j ( ` a l3
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 authorizedd by the owner.
Signature Nf ) ,e4te' lkt).("�/i
Owne"r, owner' s ajent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
alt-0YC iV 2ea,n,E xi - leo/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT "
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME WaL/ /ll/I2.C_—
LOCATION •• / "//�ePe/j o � �tt'�
4„..
DATE 9 ?A/ PERMIT # 9/,�`�
TYPE OF STRUCTURE 661I9J_. _Qig1(
RECHECK APPROVED
N/A YES NO
g FOOTINGS/PIERS O 8I/J4/ (.--; 4
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 1
FOUNDATION/DAMPROOFING ;
BACKFILL APPROVAL .
ROUGH PLUMBING i /
PLUMBING VENT/VENTS IN PLACE ,'
PLUMBING UNDER SLAB /
FRAMING: ( / ./
JACK STUDS/HEADERS 4 / /
BRACING/-BtNG R / r'
JOIST HANGERS /
JACK POSTS/MAIN BEAM k /
FIRESTOPPING
WALLS V
CEILING
FIREWALLS /
HEATING ROUGH-IN
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALE EXTERIOR R-
FLOORS ;/ \ R- .
WALLS / \ R-
CEILING / CR-
DUCT WOR OR PIPING IN UNHEATED
SPACES
l
REMARKS: 1
ie...6-4,2,' 2,1azi .
ARRIVE
DEPART E? 4,5/044:-//
NS PEC TOR
TOWN OF QUEENSBURY 4/4
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED (PAM
NAME C 9'.P/
LOCATION 8( J/)1/i9 ����/�' GPI
DATE S/`//7/ PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVE
N/A YE NO
1( FOOTINGS/PIERS 1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE C
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 F
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING N. /
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB\
FRAMING: �Q
JACK STUDS/HEADERS'L
BRACING/BRIDGING I
JOIST HANGERS /
JACK POSTS/MAIN/'BEAM
FIRESTOPPING /
WALLS
CEILING
FIREWALLS A A
HEATING ROUGH-IN 'a
INSULATION: / "k
FOUNDATION WALLS INTERIOR R
FOUNDATION/WALLS EXTERIOR
FLOORS R- ,
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
•
REMARKS: , "t
ARRIVE/Y
DEPART f/ Z(/' '
INSPECT
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