1991-604 • 42'
COMPLIANCE
OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 74 .4//t_ /31 9 P i
SWI2
This is to certify that work requested to be done as shown by Permit 'No. 91-6O4
has been completed.
This structure may be occupied as a 2—Car ip#arhoco o`e"°',
R10
Location
Lj�Clendon Brook Road
Owner JoAnn Holmes
By Order Town Board
TOWN OF QUEENSBURY
\ !
)./.41:7 .
Director of Bldg. & Code Enforcement
-
BUILDING PERMIT
TOWN OF QUEENSBURY
•
No. 91-604
WARREN COUNTY, NEW YORK a
PERMISSION is hereby granted to JoAnn Holmes
OWNER of property located at Clendon Brook Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 2-Car Detached Garage41.
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.
1. OWNER'S Address is
RD#2 Box 310 Clendon Brook Rd •
Queensbury, NY 12804'
CD
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
fD
4. ARCHITECT'S Name 0
W
S
0
O
5. ARCHITECT'S Address
O.
6. TYPE of Construction—(Please indicate by X)
( XWood Frame ( I Masonry ( )Steel ( ) N
C7
7. PLANS and Specifications
No. 780 sq ft 2-Car Detached Garage as per plot plan specifications r,°
and application
8. Proposed Use
Detached Garage
35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 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 August 19 91
SIGNED BY 2 lnN for the Town of Queensbury
Building and Zoning Inspector"
TOWN OF QUEENSBURY
DIA
maid N OF *I. ENSBURY
4111;
REVIEWED BY i - eEIVEFEE PAID: '�3j.tin / AUG 2 21991
PERMIT NO. : `7i'c.,04 EiLUG. & YODE +
.
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: JoAnn Holmes
P.O. Address: RD#2 Box .310 Clendon Brook. Rd. PHONE 793-1821
Property Location: Clendon. Brook Rd - 3/4 mi .west of Tax Map No.123 / 1 / 24
West Mountain Rd .
Has there been any split of this ,property since October 1, 1988? Yes No xx
If yes, .Planning Board Review is necessary.
Subdivision Name, if applicable: N/A Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: .
JoAnn HOlmes-Owner
NATURE OF PROPOSED WORK: . 02 C A-A. * ESTIMATED MARKET VALUE OF THE
x Construction of new, building . * CONSTRUCTION: $ 10,000.
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 600 ft. x 175 ft. '
Other work (describe) * Existing Building Size:
* FP ft. x Z8 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 780 Sq. Ft. * Front Yard 220 ft. Rear yard O0+ ft.
* Side Yards 6A ft. and 110 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: • 780 Sq. Ft. * Primary Building -
* x One Family Dwelling
Size of New Structure: 26 ft. x 30 ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/" lab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) N/A * 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: *. x _Detached Garage - One Two Car
Type of fuel : * Attached Garage - One/ wT o 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. Wood Frame Garage
Will any second-hand or ungraded lumber be used? If so, for what? No -
Foundation Wall Material : Concrete Thickness: 8u
Depth of Foundation below grade (to bottom of footing) : 8"
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? '
Type of Roof: Sloped/Flat/Shed/Other Sloped Material of Roof Metal roofing over
Size, wood studs 2 " x 4 "; spacing 16 " o.c. ; length 8 ft. Trusses
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 " ;spacing " o.c. ; span ft.
Roof rafters: x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing 24 " o.c. ; span ig, ft.
Exterior Wall Finish: Wood of what material ? 5/8" T-111 Siding
Interior Wall Finish: none
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 : V
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: Jeff Inglee-North Country Custom CarpentrFHONE792-0315
NAME OF PLUMBER & ADDRESS: N/A PHONE
NAME OF MASON & ADDRESS: ,-AE 1, .p :PHONE
NAME OF ELECTRICIAN & ADDRESS: N/A 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.
aiti,/ /1164..s..41,-,
Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
3/4 all GPI VI ighv r m,
TOWN OF QUEENSBURY
;'jf11111. 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
N` gt TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 9MA1/14, Pa-ente,n_i
LOCATION U',62/vidJi J j'l, , ,Qc
DATE ////f/y/ PERMITS 9/-14`7
TYPE OF STRUCTURE I C'NA, a 9u_
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
`FOOTING FOUNDATION r BACKFILL L-FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS j4wnu w poop / ' 11-711 l
, `re
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION /
B VENT/LOCATION
PLUMBING VENT /
ROOFING 1
SIDING I
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES Y
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DU'CTW0RK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: 9
BATH/KITCHEN WATER IGHT
OTHER FLOORS SWEE4PABLE
OTHER FLOORS CAR ETED t
STAIR CLEARANCE/R LINGS
HANDICAPPED ACCES h
SMOKE DETECTORS /
BATHROOM FANS/WHQLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS ti
OTHER FIRE SEPARATION
FIRE/DEMISE WAL4S
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: t/
veCytel4r5(1—
ARRIVE 1 /
DEPART
INSPECTOR
TOWN OF QUEENSBURY
0i404 Vt 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RE�CEIIVVED,
NAMEEosa
LOCATION 41-
DATE 9/,� ll/ PERfIT# 90 -(p�
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL e-fRAMING
TROUGH PLUMBING /iFINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO ,
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING ; /0,
SIDING 1
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING „'
BASEMENT INSULATION/DUCTWORK '
INTERIOR TRIM/PRIVACY DOORS 4
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED .Y
STAIR CLEARANCE/RAILINGS /
HANDICAPPED ACCESS
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES`OPERATING
GARAGE FIRE PROOFING'
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART
INSPECT,Q
I OF QUEEt SBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
R ' NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT g i
REQUEST FOR INSPECTION RECEIVED
ESE / Jofrn2PA ���
LOCATION L/' Q6r' z5€ (?1c)
DATE PERMIT # 91 — LPd y
TYPE OF STRtUCTURE - l 1 N- cbe-
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: - I -- -
JACK STUDS/HEADERS !,
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM. /
FIRESTOPPING
WALLS ` . .
CEILING
FIREWALLS
HEATING ROUGH-IN / ;3.
INSULATION: / \.
FOUNDATION WALLS :TNTERI'OR R-
FOUNDATION WALLS'EXTERIOR R-
FLOORS R-
WALLS R-
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: 77i6b2� �:1 i wsr1 T r�r���.4lJ:AAA i_L..
s 5(.•V),Jam 6.
C�
1,L [Ot ;41 F4ci6(L,oI� Ft,uis1�
IS R-ePLH77,
ARRIVE 3
DEPART 93175 I.
IN PEC OR
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 9/
NAt1E 90,077,„7/_.,
LOCATION
DATE 1 PERMIT
TYPE OF STRUCTURE ,'7, y. 6e.pe 0//fig
RECHECK APPROVED
N/A YES NO
ij FOOTINGS/PIERS ALE..- eftht- X.
MONOLITHIC POUR FORM �,/� 6-Z.CCU
REINFORCEMENT IN PLACE r!J
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/DAMOOFING /
BACKFILL APPRQVAL /
ROUGH PLUMBING,
PLUMBING VENT/ ENTS I PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HE1\DER
BRACING/BRIDGING
JOIST HANGERS 1
JACK POSTS/MAIN' BEAM
FIRESTOPPING
WALLS
CEILING / \
FIREWALLS / \
HEATING ROUGH/IN \
INSULATION: / \
FOUNDATION/WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / \R-
WALLS / R-
CEILING R
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
`��� kvc�i 1,t;►f X I�b5G n wiz (3 firerro,t�
U[C-/®i=SU}-r E066 ( i to- 6a P12.0
i Pt-crioilc Ni,lr ,44,_
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(� 7z lTZ. M UV& P -err- l
W EIh,t) 12.i
ARRIVE gy`,�
DEPART f0100
IN P OR
TOWN OF QUEENSBURY V4fr
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �
LOCATION c/ ac.r ✓
DATE // "/ PERMIT I F/--j e7
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
OOTINGS/PIERS ``-��llri0cJ
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 . 1
ROUGH PLUMBING �
PLUMBING VENT/VENTS IN PLACE I
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS l r
BRACING/BRIDGING 1 /
JOIST HANGERS , /
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
VL SIA,S aD C4- t'- -Po56-0
•
ARRIVE /0•^00 •
DEPART /02/0 /C
IN PEC R
/G .iS -At(
TOW OF QUEENSBURY /4 41/4
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION REIVED
NAME \//v46,� /m es
LOCATION /c�� f� 2-'�x a/ A/
DATE ?j/ 5/ PERMIT # 9/-(,OV
TYPE OF STRUCTURE �,� �� ��� i/sf•�
WEH CK Country Custom Carpentry_PROVED
� N/A YES NO
oA OOTINGS/PIERS See below X
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
JOIST HANGERS
JACK POSTS/MAIN BEAM \
FIRESTOPPING ri
WALLS
CEILING \
FIREWALLS \
HEATING ROUGH-IN \ r
INSULATION:
FOUNDATION WALLS INTERIOR R-\
FOUNDATION WALLS EXTERIOR II-
FLOORS (R-
WALLS ?' R- \
CEILING / R- `a
DUCT WORK OR PIPING IN UNHEATED \•�
SPACES f
REMARKS: r.•
Pour was begun before inspection.
Forms appeared to be adequate. Re-rod
and 6x6x10 mesh was installed. Right
side poured against existing retaining
wall. (no record of it' s construction)
Contractor was notified to expose the
outside of footings for inspection.
Aprox. 4ft apron was poured; not shown
on plans.
ARRIVE
DEPART
INS ECT
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME A119424/a
LOCATION MAA44lk s.� CY
DATE R I. iiJqi PERMIT# P-- ----- ., q
yPPRC;VED
(11)1 YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE _
FIREPLACE—MASONRY >
FIREPLACE—FACTORY BUILT
REMARKS: I 1 OK TO THIS DATE
L
02 -0J
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ARRIVE
DEPART U # V /
INSPECTOR
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TOWN OF QUEEMM MXM WMWff
Band on wr*mW uuWnft
complim" wo our COM""
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plans and spftftvf" #M Ig Id
compliance with the a&.
00 1
0, 0 tk�fM
MWN OF QUEENSSUH
RY RECEIVED
A i u
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WWII
ALSOWED [I! BLDG. IL CODE DEPT.
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TOWN OF QUEENSBURY BUILDING OVARTMENT �"'C` GQ�� �.,rt �,"' C LAT C) �—j
Based on our limited uamkwbaws
compliance vr" our comments s
not be construed as indi Abq the D[>-tom- !/??/q� D ��.vl►--� ' � �2 F�J t t L .l
plans and specifications are In fufi compliance with the code. ,,��— i114" ' �_ E44f l ZLC>F: