1991-677 •
CERTIFICATE - OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (J7d1f 7 19 962
r
This is to certify that work requested to be done as shown by Permit No. _ 91® 77
has been completed.
This structure may be occupied as a
Shed Roof Addition Moen Patina
Location Box 281. Maine Avenue
Owner Richard & Shha;on Fl ewrel l i Ran
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-677
WARREN COUNTY, NEW YORK
Na
I
PERMISSION is hereby granted to Richard & Sharon Flewel l irig eD
I-A
OWNER of property located at Maine Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Shed Roof Addition
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.
-11
1. OWNER'S Address is CD
Box 281 Maine Avenue
l�D
Queensbury, NY 12804
2. CONTRACTOR or BUILDER'S Name
Same
C,
'S
3. CONTRACTOR or BUILDER'S Address 0-
N
a
a
4. ARCHITECT'S Name 0
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) a
( X Wood Frame ( ) Masonry ( )Steel ( ) CD
rD
7. PLANS and Specifications '
No. 330 sq ft Shed Roof Addition as per plot plan specifications cM
and application -. CD
A.
8. Proposed Use
Open Patio 0
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 24, 19 92 r
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) 0
Dated at the Town of Queensbury this 24th Day of September 19 91
SIGNED BY N, for the Town of Queensbury
Building and Zoning Intor
TOWN OF QUEENSB.URY
n
.01&) REVIEWED BY: /Ili
"j411P, FEE PAID: ..2c/aai
PERMIT NO. : C1/ (n 77
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: 49/c4A.h j -4-5 a^oi! Z w%h
P.O. Address: , 114.. 4A'e,'
,�� JIi•-)C �� �"/ � � �. PHONE ��� ��/
Property Location: Tax Map No. /2Y / c! / 2/
Has there been any split of 'this property since October 1, 1988? Yes No l�
If yes, Planning Board Review is necessary. -
Subdivision Name, if applicable: Lot No. /A 8'
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: $ 5'00
Addition to building * ;
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 'co ft. x 104i ft.
Other work (describe) * Existing Building Size:
•
* --( ft. x '3 C ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard L ft. Rear yard L(ti ft.
* Side Yards .Z ft. and G 4 ft.
2nd Floor, Sq. Ft. * If on cor ;-s€tback_f-rom side street-
*
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR -AREA: -3 Sq. Ft. * Primary Building
* 5( One Family Dwelling
Size of New Structure: 73o ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
ier� Slab/Crawl/Partial/Full (Circle One) * Business —
0,
* 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) : i O P4AT o
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. !✓era 4 joV71z
Will any s_gc /1d-hand or ungraded lumber be used? If so, for what? 2,;(6( ( /:3 /'61L, ,y-.9(
x , t .
Foundation Wall Material : f , /C . _ Thickness: cir t Prklts
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? ii'erQ 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 $1 ed Material of Roof -W ",A.1
Size, wood studs 4 " x "; spacing o.c. ; length ft.
Joists (floor beams) : 1st Floor - . "`x- ---" -;—spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor "wX -
spacing o.c. ; span _ ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Roof rafters: ;2 " x 6 " ; spacing o.c. ; span tU ft,V',jz.2;-.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: ,41O,4J of what material ?
Interior Wall Finish: AJC)A/1/
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? so, will a Fire-Rated door,
enclosure, self-closing device be provided? '��
Will a flue-lined chimney be installed? +e' ht above roof ft.
Depth of chimney foundation�.be-Th , grade: ft.
Depth of fireplace hearth: y t
Water supply -,Municipal or private
SEPTIC SYSTEM: Distance from any pr.-i•vate well (including adjoining properties: - ft.
(A separate application is nec•eessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: : Alt PHONET13-r/6/2 _._
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\Ar,/� r,47„ 5 iA
• Owner, owner's agent, ar itect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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 7
NAME �l�r�� ///,'Fi/�x��Tbz.,ie/4J7 y
LOCATION 7,pf,,,,672
DATE .40/9:2-- PERMIT # 9f--6' �?
TYPE OF STRUCTURE ./l?,j,G2�r /,�'/�GG�ff
RECHECK l/ APPROVED
N/A YES NO
FOOTINGS/PIERS O'1- /D,, ��/lrL_,
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: //2./Q4' i-
JACK STUDS/HEADERS
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 l R- '\
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
WOOD ice.'
CLos& o c� P ZJV
ARRIVE
DEPART 2:jay 2
I SPE 0
TOWN OF QUEENSBURY
BUILDING AND. CODES DEPARTMENT
531 BAY ROAD
• QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME f&i•l/v r\ Lv.-t j 1--LL(i)('o
LOCATION .I i iL /of DATE )tf — Z PERMIT # " I—'67 )
TYPE OF STRUCTURE
RECHECK APPROVED
. N/A YES NO
FOOTINGS/PIERS /b/Skit V
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE /
THE CONTRACTOR IS RESPO SIBLE
FOR PROVIDING PROTECTIO FROM
FREEZING FOR 48 HOURS FO LOWIN
THE PLACEMENT OF THE CON RETE
MATERIALS FOR THIS PURPOS' 0 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LACE.
PLUMBING UNDER SLAB_
FRAMING: %
JACK STUDS/HEADERS.
BRACING/BRIDGING
JOIST HANGERS T
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN I s
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
/ '(/Nem.;10 0 i c L LLi,
CLoJ,L 07
ARRIVE
DEPART z7-740 r
0 INSPEOTORR
TOWN OF QUEENSBURY
77/W?
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION_ RECEIVEDKee_z,),46,4(
NAME I)�CC//C�(��1 G'
LOCATION,/4_,1_,
DATE /43/ 9l PERMIT # q/ '&7 7
TYPE OF STRUCTURE Akel h,O-016 cad__
RECHECK U APPROVED
N/A YES NO
VOOOTINGS/PIERS
NOLITHIC 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 SIT
FOUNDATION/WALL POUR i
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING1
BACKFILL APPROVAL a'
ROUGH PLUMBING
PLUMBING VENT/VENTS IN .PLAC,E
PLUMBING UNDER SLAB_ , '1 I
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING ',
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:
ARRIVE )°1-. I!
DEPART id"Z6—
INSPE TOR
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