1991-545 .,.
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .1.4/e•ggivA
,
91-545
This is to certify that work requested to be done as shown by Permit No.
has been completed.
•
This structure may be occupied as a Pool Shed
Location Division Road
Gerald & Karen onrian
Owner
By Order Town Board
TOWN OF QUEENSBURY
V
Director of Bldg. & Code Enforcement
x
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-545
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gerald&Karen Monri an
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OWNER of property located at Division Rd Street, Road or Ave. -1.
in the Town of Queensbury,To Construct or place a Pool Shed
at the above location in accordance to application together with plot plans and other information hereto filed and ro
• approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Box 426 Division Rd s>o
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address O.
6. TYPE of Construction— (Please indicate by X)
( X Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No- 110 sq ft Pool Shed as per plot plan specification and application
8. Proposed Use
Pool Shed
$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 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 1s _ Day of August 19 91
SIGNED BY for the Town of Queensbury
Building an Zoning In or
TOWN OF QUEENSBURY
AILREVIEWED BY: ,
101$11 FEE PAID: )//,'
PERMIT NO. : 9Ace IOWN OF QUEENSBUR
RFC<FIV
JUL 29 1991
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPENIINSVRERWE6UNTIL
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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * N
Owner of Property: 2,eQ1)/J-1- /�cY. a -
CY
P.O. Address: box 14,9c. // �
� � (� .�.�.�� �J,1� PHONE ��3-� 3-?y '
Property Location: VDK `�2L ►,.�,, cQ Tax Map No:'a3%40/ y/
Has there been any split of this property since''October 1, 1988? Yes No
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: peC' ..1‘b•s&
.
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
LZConstruction of new building * CONSTRUCTION: $
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: /ov ft. x 4. ft.
Other work (describe) * Existing Building Size:
* 3o ft. x 4/ ft. -
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. * Front Yard //4 ft. Rear yard /moo ft.
* Side Yards cs' ft. and 3s' 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 -
& j l One Family Dwelling
Size of New Structure: l/ ft. x J t) ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. 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 * ; c ) J.-, �67
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction:. wood fram fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? jv u� �n C
-cam ►
Found tion Wall Material : J 5, Thickness:
Depth of Foundation below grade (to bottom of footing) : — �d
Will there be a cellar? h)cc Heated or Unheated? w e Floor Sq. Footage: 1/6 S,
Will there be a basement? 11.)c) Will any portion be used as living space? /Vv
If so, what portion? Sq. Ft. Type of Use? S �
Type of Roof: �1 opedfj l at/Shed/Other Material of Roof Pl/scoR e -� �?,�;
f cs
Size, wood studs a " x "; spacing /G " o.c. ; length ' 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) : " x L. " ; spacing /G ft " o.c. ; span p/2 ft.
Roof rafters: , " x 6 " ; spacing /G o.c. ; span ' ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: of what material ?
Interior Wall Finish: Vc T s Aid
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? 1210 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: /�� Q �2 �i PHONE 9”-
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: 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 is authorized by the owner.
Signature
Owner, owners agent, archit4ct
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
uy TOWN OF QUEENSBURY .
531 BAY ROAD
rA�.r n
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /1 eaw Lonke
LOCATION IV 4,4 6 /�C 0-6.42 /4c/
DATE 9 �;��� PER&4IT# 9/-5'45
TYPE OF STRUCTURE 41.4q ,L/thed
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
- FOOTING FOUNDATION BACKFILL _FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL G SEPTIC
- INSULATION WOODSTOVE/FIREPLACE
REMARKS } 0
-
V / /APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION !
B VENT/LOCATION
PLUMBING VENT
ROOFING VAN
SIDING b �'
DECK/PORCH/STEPS/RAILI;NGS /
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUC,TWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: ' ■
BATH/KITCHEN WATERTIOHT
OTHER FLOORS SWEEPAB'LB,,
OTHER FLOORS CARPETED ?�
STAIR CLEARANCE/RAILINGS'';
HANDICAPPED ACCESS ,
SMOKE DETECTORS ,/' ,
BATHROOM FANS/WHO '"EHOUSE FANS
ALL PLUMBING FIXTURES OPEATING
GARAGE FIRE PROgFING
DOOR CLOSERS / _
OTHER FIRE SEPARATION 1.
FIRE/DEMISE W'+CLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTS CAL
OK TO ISSUE C/O OR C/C_ _!04
COMMENTS:
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comPliaoce without
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not be consinfed ea mating /6 v,c, i/ T`�`" .
plans a end specifications we in tuft s .
compliance with the code.
TOWN OF 0 0 cogo� .. _
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BUIL
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REVIEWED �. __ _ �c 'R fz
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h OWN OF QUEENS UR'r
RECEIVED
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